WHJ_WEB_2009_11 by The Health Journal

the

Health Journal

Williamsburg Edition

Vol. 5 No. 6

www.thehealthjournals.com

November 2009

and how to avoid them

Beauty and the Budget Public Option 101

FREE

cover photo by Brian M. Freer

Also Inside

New Name. New Look. OSC – Your Choice For

OSSMS of Hampton Roads is now... Hip Replacement

Because every patient is different, Orthopaedic & Spine Center offers a variety of options for your total hipToreplacement. better represent all we have to offer you, Of course, our practice will continue to incorporate OSSMS will now be known as Orthopaedic & Spine

the latest medical innovations and techniques in

We are proud to be the region’s premier OurCenter. skilled physicians can discuss with you allboth orthopaedic and spine surgery to improve the provider for Orthopaedics and Sports Medicine. quality of life for our patients. Rest assured, we will appropriate surgical approaches (Anterior, Posterior Our group includes the only two fellowship trained continue to offer the same comprehensive, thorough Orthopaedic Spine on the Peninsula. and personal or Lateral) and theSurgeons joint implant system best suited to care you have come to expect from us, but with a new name and look. your specific needs.

Experience Excellence

Not ready for hip replacement? Ask our specialists about the range of non-surgical treatments for effective hip pain relief.

Meet the OSC Physician Team

OSC COMMUNITY LECTURE SERIES – NOVEMBER 2009

Your Knee or Hip Replacement –

Traditional Procedures Versus New Approaches Join Dr. Mark McFarland for an informative talk about the latest orthopaedic procedures. From Custom Match Knee Replacement to Anterior Approach Hip Replacement, Dr. McFarland will compare these procedures to more traditional orthopaedic treatments. Educational literature will be provided, as well Robert J. Snyder, M.D. as delicious refreshments. Bring a friend! Martin R. Coleman,complete M.D. We provide orthopaedic care.

Boyd W. Haynes, III, M.D. • Jeffrey R. Carlson, M.D. • Mark W. McFarland, D.O. • Edward P. Petrow, Jr., D.O. Raj N. Sureja, M.D. • Jenny L. Andrus, M.D. Robert J. Snyder, M.D. Jeffrey R. Carlson, M.D. Jamie McNeely, P.A. • Tonia Yocum, P.A.

Edward P. Petrow, Jr., D.O.

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To register, please call 1-877-202-9130 Martin R. Coleman, M.D. Mark McFarland, D.O. Tuesday, November 17th, W. 7:00 PM Boyd W. Haynes, III, M.D.

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On the Cover

Medical errors occur more often than most people realize—approximately 15 million per year, say some estimates—and range from minor to mortal. Being well-informed and proactive about your care can help prevent mix-ups.

Inside NOVEMBER 2009

42 features

IN EVERY ISSUE

Hands-on Parenting | 6

Public Option 101 | 28

Letter from the Editor | 4

HJ Editor Page Bishop-Freer recounts lessons learned with her baby at an infant massage class offered by Pediatric Associates of Williamsburg.

Confused about health care reform? You're not alone. Locals offer their opinions on the public option.

Inbox | 5

Home for the Holidays | 38

Local Beat | 6

Why do we go home for the holidays? Is it for the merriment, or is it just plain masochism? Dr. Sally Hartsfield talks family dynamics and offers tips on surviving the annual family gathering.

Snapshots | 8

Favorite Fitness Tools | 18 Personal Trainer Gayle Pinn reveals her three favorite pieces of fitness equipment and how to use them for a more dynamic workout.

A New Flu Season | 30 News about the H1N1 flu strain and the seasonal flu virus seems to change daily. Get updated with these solid facts about this year’s flu season.

Fitness | 18 Feature | 22

What is Healthy Weight Loss? | 42 Bariatric physician Dr. Lisa Harris of the Chase Wellness Center discusses the medical community’s changing views on obesity and divulges her passion for singing.

Health Directory | 33 Calendar | 40 Profile | 42

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THE HEALTH JOURNAL November 2009

LETTER FROM THE EDITOR the

Health Journal Williamsburg Edition

photo by Brian M. Freer

very day I pause to remind myself of how fortunate Brian and I are to be surrounded by family and friends, whose love and support guide us through this new phase of life known as parenthood. We’ve found comfort in a circle of fellow first-timers who, from the trenches, offer their advice and reassurance. One such couple lives just three doors down from us. At first glance, our lives seem on a parallel track. Four busy, thirty-something professionals, all first-time parents with like interests. Jen and I learned last winter that we were both expecting. Coincidentally, we had been given the same due date. Last spring we both delivered healthy babies— they had a boy and we had a girl—two days apart. But as far as our pregnancies go, the differences were more than just pink versus blue. Jen could pinpoint the exact day she conceived, while I had more of a “guesstimate.” I hid the scale; she kept a spreadsheet of her weight gain and charted the results on a graph. Our nursery was ready by Christmas; until last month they had another family living in what is now the nursery. I carried pepper spray in my purse (to quell Brian’s anxiety), while Jen and her husband, on weekends, continued to help Newport News’ homeless through their church’s ministry. Jen asked guests to bring secondhand gifts to her baby shower, whereas I registered at a baby superstore for new, expensive items, many of which now seem superfluous. Other differences lay in our decisions about prenatal care. Jen chose a midwifery center; I chose an obstetrician. She took an active role in her care, seeking second opinions whenever possible and weighing the benefits and risks of every test or treatment. I didn’t follow up on one important test result—assuming all was clear— only to learn that I had been diagnosed with a common bacterium, one that’s harmless to adults but can pose serious risks to an infant during delivery. After arriving at the hospital in labor, I was ordered two doses of intravenous antibiotics right away and advised to stay one extra night for observation. (Following up on test results is just one wise practice that can prevent medical mishaps, as you’ll read in this month’s feature story on page 22.) Jen also shopped around for the best price on prenatal care. Her consumer-driven health plan (also known as a health care savings account) rewards members for frugality. It provides, as she says, an incentive to conserve health care dollars, whereas many of us who have health insurance seldom question the cost unless it comes directly out of our pockets. As our adventures in parenthood continue, Jen and I can laugh about our domestic differences—a pet rabbit roams her house; we have a German shepherd. They drive a compact car; our station wagon seats seven. But what keeps us coming back to each other’s door, besides the proximity, is the comfort we find in knowing we are on the same path, experiencing the joys, struggles and milestones, tiny and big, that each new day of parenting brings. I’ve even taken a few cues from Jen’s modus vivendi, checking out consignment sales and yard sales for good baby buys. She reminds me of the importance of opening up our hearts, and our minds, and of not becoming consumed by “stuff.” Certainly when it comes to the important things in life, we both have more than enough.

Publisher

Brian M. Freer Executive Director

Rita L. Kikoen Editor

Page Bishop-Freer Associate Editor

Beth Shamaiengar Medical Editor

Ravi V. Shamaiengar, MD Administrative assistant

Danielle Di Salvo Sales Executives

Will Berkovits Jason Connor David C. Kikoen GRAPHIC DESIGNERs

Natalie Monteith Jean Pokorny PhotographY

Brian M. Freer Page Bishop-Freer Contributing Writers

Brandy Centolanza Sharon Miller Cindrich Sally Hartsfield, PhD Alison Johnson Bridgit Kin-Charlton, MS, CPT Kathy McVey Gayle Pinn, CPT Tha Thomas U, MD, MPH Brenda H. Welch Circulation

Press Run: 19,560 Direct Mail: 15,560 Homeowners & Businesses in 23168, 23185 & 23188 zip codes. u.s. postal carrier The Health Journal—Williamsburg edition is a monthly publication directmailed to homes and businesses in Williamsburg, James City County and Northern York County in the 23185 and 23188 zip codes. Newsstand, rack and countertop distribution supplement our hand-delivery program. Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Please notify us of any change in address. The editorial content of The Health Journal is produced under the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care. Editorial contributions are welcome. All submissions become the property of the publisher. The Health Journal reserves the right to edit for clarity, house style and length. Send your manuscript via e-mail to the e-mail address below.

Page Bishop-Freer, Editor page@thehealthjournals.com

For Advertising and editorial Information, call or write:

The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com

THE HEALTH JOURNAL November 2009

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Obesity can affect all aspects of your life. Join us for a new monthly series: Obesity Educational Talk and Free Body Composition Analysis find out what you can do to combat obesity. To register, please call: 757-591-9572. Refreshments will be served.

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The October edition of The Health Journal was, in my opinion, the best so far. The information included [last] month [was] very timely. I would like to commend [features writer] Brenda Welch on her antioxidant piece that was extremely thorough and well thought-out. I am biased but would like to congratulate her on using a registered dietitian as a source. Additionally, the color and layout were attractive. I look forward to future issues, and especially those with timely nutrition-related articles. Debra A. Indorato, R.D., Virginia Beach

Kudos The Health Journal is always interesting. Every issue has something different and useful. Thanks for what you do. Gert B., Williamsburg

Recipe Contest I just read with great delight your article [Letter from the Editor, Oct. 2009] about family and recipes. As a grandparent of four wonderful little ones, I especially enjoyed your fond memories of your grandmother and her scrumptious CranberryApple Casserole. I’m looking forward to reading some of the recipes your readers send in. God Bless! Roy Huber, Chesapeake

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THE HEALTH JOURNAL November 2009

LOCAL BEAT Nov. 17 is National Memory Screening Day The Center for Excellence in Aging and Geriatric Health (CEAGH, located at 3901 Treyburn Dr.) will offer free, confidential memory screenings from 9 a.m. to 5 p.m. Call (757) 220-4751 for more information.

Send a Little Sweetness Overseas

Infant Massage Class Highlights Healing Power of Touch CHKD’s Williamsburg Practice Offers Free Monthly Class for New Parents Written By page bishop-freer

Photography By Brian M. Freer

Bring excess, uneaten and unopened Halloween candy to New Town Dental Arts (4939 Courthouse St.) Nov. 2 through 6, from 3 to 5 p.m., for a chance to win a Sonicare “Flex Care” toothbrush (valued at $160). Each pound of candy donated buys one entry. All candy collected will be donated to U.S. troops in Afghanistan and Iraq.

Donate Food to FISH, Get Pampered Now through Dec. 24, B-defined Innovative Personal Training & Wellness, located inside the SunTrust Building in New Town, will be collecting food donations for FISH, a local volunteer agency that provides food, clothing, household items and transportation to families in crisis. Each donation will enter the donor's name in a raffle drawing for a free 60-minute massage and a one-hour personal training session.

Internet Safety, Gangs to Be Subjects of “Need to Know” Briefings Williamsburg-James City County middle schools and their PTAs are hosting a series of presentations for parents, teachers and students, called “Need To Know” Briefings. James Blair Middle School will host the first session on Tues., Nov. 10, at 7:30 p.m. The discussion will cover Internet safety and how parents can help the FBI identify and stop child predators. The next two sessions, as yet unscheduled, will be “Internet Safety/Social Networking Sites” at Berkeley Middle School, and “Gangs” at Toano Middle School.

Health Foundation Honors Two Local Programs At its annual Healthcare Heroes event held Oct. 22, the Williamsburg Community Health Foundation presented a $5,000 grant to the Psychological and Substance Abuse Services Program of York County Division of Juvenile Services. Another $5,000 was given to Lackey Free Clinic’s Volunteer Medical Practitioner Recruitment Program. These grants will be used to strengthen initiatives that deliver a significant level of health care and health-related services to the uninsured, patients on Medicaid, and other vulnerable populations.

Tenille Powell and nine-week-old Logan attended CHKD’s free infant massage class on Oct. 15. Powell is not a first-time mom, but this was her first time learning infant massage.

hen I signed up for a free infant massage class that Pediatric Associates of Williamsburg (a practice of Children’s Hospital of The King’s Daughters, or CHKD) was offering last month, slight pangs of guilt set in. At that time my daughter Cami was almost six months old. And while she had received plenty of touching, cuddling and overall closeness—her first words will likely be, “Mom, give me some space!”—she’d never had a real, bonafide massage from Mom or Dad.

Adding to that guilt was remembering how many massages I had received while pregnant. Somewhere during my second trimester, my chiropractor urged me to get regular hip adjustments to aid in labor and delivery, and with each adjustment came a golden opportunity: Half-hour therapeutic massages for a reasonable $20 copay. So, for those final three months, I waddled my way into his office, sometimes as often as three days a week, for a half hour of pampering.

THE HEALTH JOURNAL November 2009

While the therapist worked her magic, I’d sink gently into a tranquil state with the help of dimmed lights, soft music and scented oil. The theory behind infant massage is that it works so well for adults, why not babies, too? Other local moms had the right idea by bringing their infants to the class, which began meeting monthly in July and is free to local parents. For the class last month, two other moms from Williamsburg and another from King and Queen County—all with nineweek-olds—braved the chilly rain, babies in tow, to learn the basics of infant massage. The class is recommended for infants six months of age and younger, which made Cami the “senior” infant in attendance. And while the other three infants nestled peacefully in their mothers’ arms, Cami was twisting and turning on the floor, flipping from back to stomach and back again, determined to get a glimpse of the mannequin baby that instructor Beverly Coleman was holding. Coleman, a pediatric nurse practitioner, assured us that infant massage is like most aspects of parenting—there’s no one right way to do it, parents just have to go with what works for them. I tried to keep that in mind as I grappled with my oiled infant. Aside from Cami’s antics, it was easy to see the benefits of infant massage. It’s particularly good for fussy or gassy babies, even those with colic, because it can help with digestion and forces gas out of the stomach. Babies who receive regular massage often have better muscle tone, coordination and cognition thanks to stimulation of the nervous system. Circulation is improved, and sleep is more restful. A baby’s immune function may also get a boost from the stimulation of the skin. And finally, most importantly, parents and their baby get a unique chance to bond. “It’s important to get that touch,” says Coleman. “Research shows [infant massage] benefits the immune system and can help preemies gain weight.”

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LOCAL BEAT belly button, use two fingers to draw first a capital ‘I’, then an upside down ‘L’, then an upside down ‘U.’

Chest Stroke Rub fingers in a downward motion on each side of the chest and stomach, from shoulder to groin.

Clockwise from top: Cami was more interested in the instructor than the massage; first-time mom Chana Wynn does the leg stroke on her nine-week-old son Sherman "Tre" Wynn; Tre dozed off to sleep as Chana performed the final few strokes.

Arm Stroke Do the same thumb-and-forefinger rub as you did on the legs, working from wrist to shoulder.

Scalp Stimulation Sit baby upright and massage the scalp (no oil needed).

Back Stroke Place baby on stomach and stroke fingers down on either side of the spine, from shoulder to buttocks. Then make small gentle circles with two fingers along the spine.

Legs, Again Return to the legs and feet and repeat the earlier stroke on the back sides of the legs.

Facial Stimulation Finally, take baby in your arms and massage the face, running two fingers across the forehead and across the cheeks and temples.

Mouth (optional) Gently trace around the mouth to stimulate the digestive nerves. HJ

Here are some tips Coleman offers in her class, taken from “Baby’s First Massage,” an informational booklet written by Teresa K. Ramsey, BSN. Getting Started First, gather your materials: baby oil or organic oil (Cami and I like Burt’s Bees Baby Bee Apricot Oil), a padded blanket or towel, relaxing music, etc. Starting with clean hands, place your baby on his or her back on a thick blanket or pillow. Keep your baby wrapped in a lightweight blanket (receiving blankets work best) and only expose the area being massaged. Repeat each stroke several times. Parents should take a few precautions: • Don’t massage an infant who’s hungry or sick. • Try to massage after a bath when baby is calm and ready to go to sleep.

• Baby must weigh at least three pounds and have reached 32 weeks gestation if born prematurely. • Avoid the cord stump as well as any skin fraction or incision. • Wait 30 minutes after a feeding before massaging (to control reflux). • Don’t massage on a waterbed or beanbag chair (baby could suffocate). • Avoid oils with strong perfumes. The Total-Body Infant massage

The Opening Stretch

on the sole of the foot and apply light pressure.

Abdominal Reflex Stroking Lightly brush one finger in a spiral around belly button (be careful of the cord stump if it has not healed) to stimulate the abdominal reflex, reduce gas and alleviate constipation.

Spider Walk Stroking Brush all four fingers lightly across the belly (like a spider’s legs) to help gas move through.

Begin with hands underneath baby’s “Rocking the Hara” diapered bottom. Rub the hip area in a Rub the heel of the hand and fingers wave-like motion, lifting the hips about back and forth across the abdominal two inches off the ground. muscles, lightly pushing and pulling below the ribs, sort of like kneading Leg Stroke bread. Massage each leg from thigh to ankle using thumb and index finger to make The “I Love You” Technique a circle around the leg. Place one finger In the area between the ribs and the

To advertise, call 757-645-4475

Want to Try Infant Massage? Pediatric Associates of Williamsburg offers a free infant massage class on the third Thursday of each month, from 5:30 to 6:30 p.m., at their Williamsburg office (find the address in our Health Directory under "Pediatrics"). Call (757) 564-7337 (option 3) to register.

THE HEALTH JOURNAL November 2009

SNAPSHOTS

1, 2, 3

On Oct. 4, Sentara Healthcare and Optima Health donated $100,000 to support the JT Walk to Benefit ALS and Grommet Island Park, which will be the first handicapped-accessible beach park in the nation. The walk, held at the Virginia Beach Oceanfront, was named after Josh Thompson, a local resident who was stricken with ALS, also known as “Lou Gehrig’s disease.” (1) Team Carol Via Flynn gathers for a group shot. (2) A groundbreaking ceremony was held for Grommet Island Park, on which completion is expected in Spring 2010. (3) An arial view of walkers on the Virginia Beach Boardwalk (Sentara Healthcare and Optima Health employees wore yellow shirts). Ratoshia Coles, a teacher in Child Development Resources’ Early Head Start program, reads The Very Hungry Caterpillar by Eric Carle to students during the Oct. 8 national “Read for the Record” day, which promoted early childhood literacy by asking teachers across the country to read the same book to children. CDR’s early literacy program, “1-2-3 READ!” encourages children, families and caregivers to develop the foundation for a lifelong love of reading and provides training to professionals throughout Virginia.

Last month, Susan Chrissley, director of Province Place of Maryview in Portsmouth (a Bon Secours assisted living facility), accepted the D. A. “Woody” Brown Community Involvement Award from the Virginia Health Care Association and Virginia Center for Assisted Living.

6, 7, 8

On Oct. 22, over 500 people gathered at Norfolk’s Waterside Marriott for the 14th Annual L. D. Britt, M.D., Scholarship Fund Dinner. The event raised $131,000 for the scholarship, which supports minority students at Eastern Virginia Medical School. This year’s Britt Scholar is Hampton Roads native Lia Nicole Whatley. Also at the event, three community leaders—Cathy Lewis, host of “HearSay with Cathy Lewis” on WHRO; Gary McCollum, senior vice president and general manager of Cox Communications; and Rabbi Michael Panitz of Temple Israel in Norfolk—received the scholarship’s Community Service Awards. (6) Left to right: Keynote speaker Rubens J. Pamies, M.D., scholarship recipient Nicole Whatley and award winner Cathy Lewis join dinner host L. D. Britt, M.D., M.P.H. (7) Pamies and Britt share an earnest conversation (8) Pamies and Britt chat briefly with Norfolk Mayor Paul D. Fraim.

Dr. Lisa Marie Samaha and her team at Port Warwick Dental Arts (PWDA) in Newport News raised $6,000 for Children’s Hospital of The King’s Daughters (CHKD). They have chosen the Child Abuse Program at CHKD as the recipient of their donation. Artwork from the Upper Gallery, Dr. Samaha’s art studio/gallery above her office, will also be donated to help decorate the child abuse treatment center. Dr. Lisa Marie Samaha (right) presents a check to Sharon Claassen of CHKD during PWDA’s recent Open House fundraiser for CHKD.

We Want Your Snapshots! Readers may submit pictures of health-related happenings throughout Hampton Roads. Please remember to include a brief description of the photo as well as the full names of individuals featured. Send Your Health Snapshots to: page@thehealthjournals.com 8

THE HEALTH JOURNAL November 2009

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Help is at St. Brendan’s Harbor. Located at The Barry Robinson Center, St. Brendan’s Harbor offers a small, close-knit treatment community where adolescents participate in an intensive and comprehensive substance abuse treatment program. Situated on a beautiful, 28-acre campus on the border of Virginia Beach and Norfolk, St. Brendan’s Harbor provides a wholesome environment for recovery. To begin the admission process or to learn more about St. Brendan’s Harbor at The Barry Robinson Center, please call 1-888-556-8892 or visit www.barryrobinson.org The Barry Robinson Center, 443 Kempsville Road, Norfolk, Virginia, 23502

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HEALTH IN HISTORY

Then and Now: A Look Back at Health Practices of Eighteenth-Century Virginia Written By Brandy Centolanza Photography Courtesy of The Colonial Williamsburg Foundation

Master Shoemaker D. A. Saguto in the Shoemaker Shop in Colonial Williamsburg.

ver the last year, historians from Colonial Williamsburg have shared their knowledge about many of the health problems that affected residents of Colonial Virginia. The Health Journal’s “Health in History” series covered topics such as dental health, mental health, women’s and children’s health, and finally, cancer. Comparisons between the health care practices of the 18th and 21st centuries illustrated how dramatically health care has improved. Among the greatest differences revealed was the use of technology in patient care. “The knowledge of the causes of diseases is significantly more advanced, and that has resulted in more focused treatment and prevention,” notes Robin Kipps, supervisor at Pasteur & Galt Apothecary in Colonial Williamsburg. “Modern practitioners have an amazing array of technology to diagnose conditions. There are conditions today that can be diagnosed and treated in the early stages. This was not always possible in the 18th century.” Medical technology has not only made it easier for physicians to care for patients, but it has also made it easier for emergency personnel to reach someone in need of medical attention. “The technology to notify first responders has saved many lives,” Kipps says. “Eighteenth-century carriages did not come with On-Star. 10

If you were on board a Colonial vessel, [you] could not call for assistance [and expect] a medical evacuation.” In addition, says Kipps, “the [development] of antibiotics gave us the ability to cure some bacterial diseases.” Thanks to antibiotics and life-saving vaccines, some diseases that were prevalent during the Colonial era, such as smallpox, aren’t as common today. Despite the many advances, what remains unchanged is the value placed on regular exercise and a nutritious diet. CW historian Lorena Walsh agrees: “A key similarity would be the emphasis on…good diet as important to recovery from any ailment or condition.” Here are some of the highlights from previous articles in the “Health in History” series. (Find the entire series online at www.thehealthjournals.com.) The Colonial Diet—Corn was the staple food for early Virginians because wheat didn’t grow well in the New World. Colonists also grew or picked fruits, vegetables, grains and nuts— depending on what was in season—while pigs, cows and sheep were primary meat sources. Most of what Colonists knew about growing corn and hunting was learned from the Native Americans. Obesity was seldom a problem as most Colonists were manual laborers and quickly burned off any calories they

Colonists relied on natural remedies to cure most ailments, but they also knew the importance of a healthy diet and exercise.

consumed. Walking was then, and still is, considered a healthy form of exercise. Common Diseases—Serious health threats included mosquito-contracted diseases such as encephalitis and malaria, as well as digestive disorders like dysentery and typhoid fever, which were often contracted through contaminated food and water. Most conditions were treated with natural remedies (ginger for gas, prunes for constipation, opium for pain), though bloodletting—releasing blood through a punctured vein or applying leeches to the skin—was a common practice. Physician Education—Eighteenthcentury physicians were not required to undergo any formal medical

THE HEALTH JOURNAL November 2009

instruction like they are today, though most did receive training through apprenticeships and university studies abroad. Eighteenth-century health care practitioners typically held one of four titles: physician, surgeon, druggist or apothecary. However, there were few formal standards for patient care. Surgery—The most common medical procedures were dental extractions, bloodletting and amputations. Colonial surgeons, who ordered their tools from Europe, used many of the same types of tools as modern physicians (e.g., lancets, tooth extractors, probes, needles, knives and bone saws), though the handles of medical instruments are no longer made from wood and ivory. Opium was often given to patients

Continued on page 12 www.thehealthjournals.com

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HEALTH IN HISTORY

mental health issues were either cared for by family members or, in severe cases, confined to the local jail or poorhouse. Colonial doctors could identify mental disorders based on a person’s behavior, noted historian Linda Rowe, though in most cases they could not explain the reasons for such behavior. Physicians commonly believed that patients “chose” to behave irrationally and therefore could be cured.

An array of surgical instruments on display in Colonial Williamsburg.

Continued from page 10 following an operation, but no anesthetic was available to sedate patients during surgery. Dental Health—Though Colonists did not visit a dentist for regular checkups (the first dental school would not open for another century), they did recognize the importance of good dental hygiene, and toothbrushes—often made from dried licorice roots or boar bristles—were widely available, though flossing “was a product of the 19th century,” noted Kipps. The lack of today’s medical technology, however— particularly X-rays—made it difficult to pinpoint problems below the gumline. Poor dental hygiene, often compounded by diet and disease, often called for tooth extraction. In such cases, false teeth and dental implants (carved from ivory) were available. Personal Hygiene—Though germs were not yet identified as carriers of disease—medical texts used the word “contagion”—Colonists nevertheless believed hand washing and personal hygiene were important for preventing illness. Castile soap, made from olive oil, was a popular skin cleanser, while cornmeal was often used as a dry shampoo. Generally, only the wealthiest bathed in a tub—a service provided by local wigmakers—while most Colonists simply washed their faces and hands (and other areas that required cleaning) in a basin with a rag and soap. In the area of wound care, cobwebs were frequently applied to cuts and scrapes to stop bleeding. Elder Care—Though most Colonists did not live long enough to contract age-related diseases of the modern era (such as heart disease, dementia and Alzheimer’s disease), those who did reach old age were prone to arthritis, broken bones, the flu and 12

intestinal diseases like dysentery. Families cared for their elders, and local churches also helped to place poor elderly people with caregivers. According to historian Lorena Walsh, retirement was not an option. “Basically, people expected to work until they died or became physically incapable of working,” she

Pediatrics—Colonial doctors didn’t devote a lot of time to studying children’s health issues (pediatric care was not a specific area of study until the 1900s). Like their parents, children living in Colonial Williamsburg only visited a doctor when absolutely necessary—never for preventative checkups. Most childhood ailments, among them pertussis (whooping cough), mumps, measles and chickenpox, were treated with home remedies as most vaccines (the exception being the smallpox vaccine, developed in 1720) were not yet available. Kipps said that families consulted home medical guides such as Dr. William Buchan’s Domestic Medicine, first published in 1769.

The average resident of Colonial Williamsburg could expect to live to their mid- to late-40s, noted Walsh, though life expectancy was higher in some other Colonies, such as in New England. said. The average resident of Colonial Williamsburg could expect to live to their mid- to late-40s, noted Walsh, though life expectancy was higher in some other Colonies, such as in New England. Women’s Health—Colonial women suffered from many of the same ills that affect women today, such as those related to menstruation (e.g., breast swelling, headaches, nausea, cramps, backaches, exhaustion) and reproduction (sterility, ulcers, tumors), noted medical historian Sharon Cotner, whose realm of expertise includes health issues of Colonial women. Irregular menstrual cycles, menopausal symptoms, breast cancer, yeast infections and anemia were also special health concerns of women. Free women, as opposed to slaves, had an average of about 10 pregnancies (six to eight live births), and midwives attended to most births. Mental Health—Prior to the 1773 opening of The Publik Hospital in Williamsburg (later to become Eastern State Hospital), the nation’s first mental hospital for the insane, Colonists who suffered with

THE HEALTH JOURNAL November 2009

Foot Care—Like many of us today, the Colonists chose shoes for fashion over comfort—a problem since they spent most of their day on foot. As a result, Colonists (especially women) frequently suffered from foot woes such as bunions, corns, gout and hammertoes. While today’s podiatrists treat these and other foot problems, Colonists simply had to endure them. “What we think of as personal foot care today was simply non-existent for most people then, outside soaking tired feet in hot water and, we can hope, of trimming toenails,” said Master Shoemaker D. A. Saguto, who works in the Shoemaker Shop of Colonial Williamsburg. Cancer—Cancer was deadly in Colonial times, and for many people, remains so. Colonists often tried home remedies, including herbal ones, before consulting a physician. Treatments have changed for the better, though: Eighteenth-century doctors often used mercury, arsenic, poisonous hemlock and lizards to “cure” a person of their cancer. If all else failed, doctors would surgically remove the diseased body part. HJ

www.thehealthjournals.com

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HEALTHWIRE

Study Indicates More Kids Have Autism than Once Thought Written By Megan Brooks NEW YORK (Reuters Health)

ou may have heard the oftquoted statistic that autism affects one in 150 children in the United States. Turns out it’s more like one in 91 overall—and about one in 58 boys, according to new figures. That’s an estimated 673,000 U.S. children—or approximately one percent of all U.S. kids, researchers from the U.S. Centers for Disease Control and Prevention in Atlanta and Harvard Medical School in Boston report in the journal Pediatrics. Bob Wright, co-founder of the autism advocacy group Autism Speaks, told Reuters Health he’s not at all surprised by the new figures. “We’ve been screaming about the numbers going up; now there is a relatively complete recognition of it.” “The statistical aspect of autism is just staggering,” he said, and not enough is being done about it. “If we had one in 58 boys getting swine flu, the country would be crazy.” Autism is a brain disorder characterized by problems with social interaction, repetitive behavior and other symptoms. People with a mild version called Asperg-

er’s syndrome usually function relatively well in society, although they have problems relating to others. People with the most extreme symptoms may be unable to speak and may also suffer severe mental illness and retardation. No one knows what causes autism— it’s generally thought to have genetic and environmental triggers—and there is currently no good treatment. Autism is “an urgent public health concern,” Dr. Ileana Arias, deputy director of CDC, told reporters on a conference call before the data was released to the public in October. The new data, she said, “confirm that a concerted effort and a substantial national response is warranted in addressing the issue.” On Sept. 30, President Barack Obama promised a large infusion of funds into autism research, as part of plans to spend $5 billion on medical and scientific research, medical supplies and upgrading laboratory capacity. The new figures on autism cases stem from a 2007 telephone survey conducted jointly by the Health Resources and Services Administration (HRSA) and CDC. More than 78,000 parents of children between the ages of three and 17 were asked whether they had ever been told

by a health care provider that their child order but that their child did not curhad autism, Asperger’s syndrome, or an- rently have the condition. It’s possible, other “autism spectrum disorder” (ASD). the researchers say, that autism was Based on these parent reports, the initially suspected but subsequently prevalence of ASD in 2007 was one in ruled out and never truly diagnosed. 91. The new estimates are far higher The high rate of “lost” cases of autism among very young children (ages 3 to than previous estimates of one in 150. “We are extremely concerned about 5) supports this theory. It’s also possible that some children the apparent increase,” Dr. Arias said, but she urged caution in interpreting it. with developmental issues and learn“Unfortunately, the information that we ing disabilities may have been initially currently have doesn’t allow us to give diagnosed with autism to help the fama true account of whether the apparent increase is an actual increase or the result Autism’s Genetic Link of changes in the way we After studying genetic markers in describe or diagnose ASD,” more than 1,000 families, researchers at Massachusetts she explained. General Hospital have discovMore inclusive survey ered several DNA variations that questions, increased public may be linked to autism, including awareness, and improved those affecting chromosomes 6 and 20. They screening and diagnosis of expect to find a long list of genes involved in the autism are all possible readevelopment of autism spectrum disorder. sons for the higher numbers, Dr. Michael D. Kogan of HRSA ily qualify for special education and and colleagues report in Pediatrics. other services. Children who had “lost” their autism They also report that boys were much more likely than girls to have autism, were more likely to be diagnosed with which has been shown previously, and other developmental or mental health white children were more likely than conditions, such as attention-deficit/ black children or multiracial children hyperactivity disorder, anxiety problems or behavioral issues. to have the disorder. “We are hopeful,” Arias said, “that Half of the parents polled who had children with autism described their the new data will raise awareness about child’s condition as mild. Another third [autism], will help improve early idendescribed their child’s condition as tification and intervention, will promoderate, and the remaining parents vide information for policy and service planning, and most importantly, help described it as severe. Approximately 38 percent of chil- us meet the growing needs of individdren seemed to have “lost” their autism ual families and communities who are —their parents said they had once been affected by autism and other developtold that their child had an autistic dis- mental disorders.” HJ

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

SMILE sense

What is a Dental Implant?

Dental implants are a natural looking replacement for missing teeth that provide the same function as your natural tooth root. An implant is a small, sturdy, titanium post that is surgically placed into the jawbone. This offers a permanent solution to tooth loss.

How Do I Know if I am a Candidate for Dental Implants?

Dental implants are an ideal option for people in good oral health who have lost one or more teeth. Candidates for dental implants need to have healthy gums and adequate bone in the jaw to support the implant. After a thorough examination, your dentist can evaluate your bone structure and recommend a treatment plan that best suits your needs.

Implants are among the most successful dental procedures. Studies have shown a success rate of 90 to 95 percent. A single tooth or a full arch of teeth can be replaced with dental implants. Once the implant is placed into the bone, the implant can hold a crown, bridge, partials, or dentures just as the roots hold natural teeth in place. Implants are very durable and can last a lifetime. They require the same maintenance as natural teeth, which includes brushing, flossing, and regular dental check-ups.

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Most adults are candidates for dental implants. However, patients who smoke or have immune deficiencies due to chronic disease may not be good candidates for implants. Smokers face a higher risk for implant failure because smoking inhibits healing in the mouth. Your dentist will most likely advise you to stop smoking before undergoing treatment. Someone who suffers from a chronic disease such as diabetes may not be a good candidate either, because poorly controlled diabetes can affect gum tissue’s ability to heal. Limited space in the mouth and jaw could also prevent a patient from being a candidate for dental implants. People who wait too long to replace missing teeth take the risk of losing ample bone structure and space to accommodate an implant. When teeth are lost, the remaining teeth will tilt and shift into the empty spaces, therefore closing the space for a possible implant. Any patient who decides to get dental implants must commit to taking good care of the implant and surrounding gums. Daily brushing and flossing are essential for the procedure to be successful.

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Maximizing Your Medicare Advantage Plan Medicare Advantage Enrollment Season is Nov. 15 through Dec. 31 Written By Kathy McVey

f you are one of the seven million Americans on a Medicare Advantage (MA) plan, it’s time to prepare for the coming enrollment season, which will last from Nov. 15 through Dec. 31. Medicare Advantage plans are health plan options offered by private insurance companies and approved by Medicare. Medicare itself is government-regulated health insurance for people age 65 or older, those under age 65 with certain disabilities and anyone with end-stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant). Most people automatically receive Medicare benefits upon turning 65; forty-three million Americans are now on Medicare. Medicare Advantage (MA) plans often offer all the coverage of original Medicare and more, with valueadded benefits such as vision, hearing, fitness and/or health and wellness programs. Many MA plans offer lower copayments and cover additional benefits and services not covered by original Medicare. Additionally, some plans include prescription drug coverage. Being familiar with your MA plan helps you maximize your benefits. Each year, the six weeks between

Nov. 15 and Dec. 31 comprise Medicare’s Annual Enrollment Period. This is the time of year when seniors can elect to stay with their existing MA plan or enroll with another plan. In addition to this enrollment period, there are other opportunities throughout the year (such as initial enrollment, when a person turns 65; or various other opportunities) in which you can join, switch or drop an MA plan. Savvy MA plan shoppers should carefully consider their own situation and needs as well as know the rules of the MA system. Once you’re enrolled, your coverage begins on Jan. 1 of the following year. The MA Annual Enrollment Period is a six-week period in which you must make a decision that will ultimately affect you the entire following year. So, how do you evaluate an MA plan? There are five key areas to consider. First is the monthly premium. Many MA plans require low premiums or none at all, but remember, premium isn’t everything. You want value for your dollar. Second is the network of physicians and hospitals. Does the plan offer a strong network of providers? Are the doctors you need in the health plan’s network? Third is the cost for a physi-

cian visit or other medical services. What will your out-of-pocket expenses be each month? Can you afford these costs? Fourth is pharmacy coverage. If you are looking for an MA plan with this coverage, what drugs are covered that you currently take? Make sure you’re getting the coverage that you need. And finally, the fifth area to consider is the wellness and preventive services programs that an MA plan offers. These value-added benefits can really add up. Does the plan offer immunizations, such as flu and pneumonia shots, annual physicals, mammogram and prostate exams, discounts on health clubs and gyms, etc.? These added benefits can truly be a deal breaker as you evaluate various plans. Ultimately, selecting an MA plan is a personal choice that should be made with careful consideration. Always work with reputable agents with established insurance companies to ensure you don’t get duped. They will help you understand all the choices available to you and help you pick the choice that best fits your needs. HJ Kathy McVey is the manager of Medicare sales at Optima Health, a Virginia-based health plan with more than 415,000 members, nationally-recognized for its quality, service and innovative programs.

“Life shouldn’t be a pain in the neck...or back.” “Since 1992, my number one focus has been helping people who suffer with severe and chronic back pain, neck pain, spinal stenosis and degenerative disc disease. I’ve dedicated my life to it. Today, chiropractic offers a wide range of therapies, and the treatment we provide does not require ‘popping or cracking.’ We have very affordable fees at our office and we accept most insurance plans...including Medicare and Anthem. If you would like to find out if our office is the right choice for you, just give us a call. We have a terrific staff, and we’ll do our very best to help you.”

    

Sincerely,

Mark D. Croucher, DC

The Spine Center

    

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“Life shouldn’t be a pain in the neck…or back.”

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  

THE HEALTH JOURNAL November 2009

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www.thehealthjournals.com

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My Favorite Fitness Tools Written By Gayle Pinn

Photography By Brian M. Freer

The following fitness tools are some of my personal favorites because they are effective, versatile and easy to use. These items are generally available for use at your local fitness facility or can be purchased at a sporting goods store. Try the exercises below for a more dynamic workout. HJ

Gayle Pinn is the owner of Results Personal Training Studio. She’s a certified personal trainer and spinning instructor with 12 years of experience in the fitness industry. She specializes in oneon-one personal training for all fitness levels. She can be reached at resultsstudio@gmail.com.

Body Bar

A body bar is a long metal bar covered in rubber; they come in various weights from three to 36 lbs. Using the body bar allows you to perform traditional barbell exercises such as the chest press and bicep curl. Personal trainers may also use body bars vertically (like a hiking stick) to aid people who have difficulty balancing while squatting or lunging. Body bars can also be used in group fitness classes because they are versatile and come in a wide range of weights.

Try this move: One-legged lunge

Use the body bar vertically like a hiking stick by placing one end of the bar on the ground and then grasping the other end. Then, with your right foot on the floor and the left foot behind you on a bench, bend your right knee and lower your body toward the floor. All of your body weight should be pressed into your right heel. Keep your right knee over your right ankle (i.e., don’t let the knee extend beyond your toes). Return to starting position. Perform 10 to 15 repetitions on each leg.

Medicine Ball

A medicine ball is a weighted ball usually made of leather, rubber or vinyl and filled with either gel or sand. These balls range in weight from two to 25 lbs. Athletes use medicine balls to achieve higher fitness levels, and you can use them in your strength-training program, too. These simple tools can help increase your range of motion while improving your core strength and coordination. An added bonus is that you can use them with a workout partner.

Try this move: Explosive throw-downs

This move can be performed while kneeling, seated or standing. Choose a ball that’s about eight to 12 lbs. and filled with gel (so it’ll bounce). Hold the medicine ball in both hands above your head and then throw the ball downwards using as much force as you can, contracting your abdominals continuously. Catch the ball as it bounces back and repeat. Or, if working with a partner, allow him or her to catch the ball, and repeat the exercise. Perform about 15 to 20 reps or until fatigued.

THE HEALTH JOURNAL November 2009

BOSU

Personal trainers and physical therapists use the BOSU as a balance-training tool. It resembles a large plastic ball cut in half. Both sides can be used for exercise, but the easiest and most versatile side is the one that looks like a half-ball. Take most any typical exercise—such as bicep curls or bicycle abs—and either sit or stand on the BOSU and voila—you’ve got a core-challenging exercise. When you’re standing on an unstable surface, your core muscles must continuously contract to maintain your balance. This is a great fitness tool if your goal is to improve your balance, strengthen your core or just add a new and interesting element to your training. You can use one or even two BOSUs at a time (e.g., place one foot on each BOSU) depending on the exercise.

Try this move: Balance squat and jumps

Place each foot squarely on top of a BOSU and squat as if you were on level ground. Perform 15 to 20 reps or until fatigued. Once you have mastered the squat, try jumping. Start in a squatting position and jump as high as you feel comfortable before landing back in a squat. Work up to jumping a few inches off each BOSU. If you lose your balance at any time, just step back on the BOSUs and try again. Perform 10 to 20 jumps or until fatigued.

www.thehealthjournals.com

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WEIGHT MANAGEMENT

Settling the Calorie Score How much would it take to burn off the typical holiday meal? 1 slice

Written By Bridgit Kin-Charlton

he holiday season, ever inching its way closer, is a time of celebration that leads many to overindulge. Teeming with tasty temptations, the holidays can present challenges for those of us trying to maintain healthy habits. Brimming buffets, baked goods, and bottomless punch bowls can create anxiety for the calorie-conscious struggling to either stay at their current weight or slim down. But joining in on the celebration doesn’t have to spell dietary disaster. If you can’t resist Mom’s Famous Pumpkin Pie or Uncle Pete’s Spiced Eggnog, you can stop the scale from budging by upping the exercise ante. Here are a few favorite holiday treats matched with how much of a particular exercise it would take to offset the calories you’d consume. The following calculations are based on an individual weighing 150 pounds. HJ

1 slice

1 slice pumpkin pie = 280cal/ 1 hour of golf, walking the course and pulling clubs

nc 6 ou es Bridgit Kin-Charlton, M.S. Ed., is a certified personal trainer and the founder of B-defined Innovative Personal Training and Wellness in Williamsburg. She can be reached at bridgit@bdefined. hrcoxmail.com.

½ cu p

nc 8 ou es

45 minutes

80 minutes

8 oz. eggnog = 400cal/80 min. on a stationary bike

Ave ra

hanksgivin

3 hours

eal

1 hour

T ge

1 hour

½ c. stuffing = 410cal /1 hour of swimming at a moderate pace

1 c. mashed potatoes and gravy = 226cal/1 hour of ballroom dancing

45 minutes

1 slice corn bread = 250cal/45 min. tennis

1 cup

1 hour

6 oz. mixed drink = 250cal /1 hour of walking at 3.5 mph

1 slice pecan pie = 500cal/45 min. of running at 5 mph

1 slice

1 hour

Average Thanksgiving meal, with all the usual trimmings = 2,000cal/3 hours on an elliptical trainer

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

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FEATURE Written By Alison Johnson PHOTOGRAPHY BY BRIAN M. FREER

ere’s a scary statistic: Preventable medical errors occur roughly 15 million times a year, according to the Institute for Healthcare Improvement. That includes mistakes with prescription medications and in doctors’ offices and hospitals, which can range from minor to deadly. Luckily, doctors say patients have more control over their safety than they might think. People who educate themselves on the medicines, tests and procedures they need—and ask lots of questions—do better than passive types. “Most doctors appreciate patients who take some responsibility for keeping up with their own health care,” says Dr. Jim Schmidt, a pediatric emergency specialist in Norfolk. Here are five major mix-ups that occur, and some steps patients can take to protect themselves:

1. MISSING TEST RESULTS

Medical Mix-Ups

and how to avoid them

The results of screening and laboratory tests don’t always make it to patients. A Weill Cornell Medical College study published earlier this year found that about seven percent of abnormal results never get to patients in primary care practices. Paperwork may get lost in busy labs and offices or mistakenly filed before a doctor sees it. Medical practices also may not have systems to record which patients have gotten their results. Patients should never assume “no news is good news” but should always call to check, Schmidt urges. “Until medicine progresses to a more integrated medical record [system], a system of many standalone symptoms makes following results a real challenge,” he says. “I recommend that each patient clearly ask their doctor how or if they should expect to get their results. Patients should not make assumptions but instead ask their doctor after each test if they are uncertain about how results will be shared. In some medical systems, no news is good news; in others, no news means a potential oversight. Some systems ask patients to call for results; others will send them automatically.”

2. PRESCRIPTION DRUG ERRORS More than 3,000 medications have similar names to other drugs on the market, according to a 2008 report by U.S. Pharmacopeia, a nonprofit that promotes patient safety. There’s Klonopin for seizures and Clonidine for high blood pressure, for example, and Zyrtec for allergies and Zantac for acid reflux. Errors can stem from a doctor’s bad handwriting,

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

Where medical errors can happen • • • • • • •

Hospitals and clinics Outpatient surgery centers Your doctor’s office Nursing homes Pharmacies Laboratories At home

a busy pharmacist grabbing the wrong pills or a patient mispronouncing a needed medication. Patients should know how to say and spell the name of a drug they’ve been prescribed, as well as the dosage and the reason they’re taking it. They also can talk to a pharmacist when picking up a medication, says Dave Merryfield, director of clinical pharmacy programs for Sentara Healthcare. “Sometimes consumers feel like they’re in too big a hurry,” Merryfield says. “But there’s real value in those conversations, and a lot of mistakes can be caught during them.” It’s also wise for the doctor

two of the biggest concerns for hospitalized patients. Electronic medical records and bar-coded bracelets— which caregivers must match with medications—are making a big difference, but patients still need to be assertive, says Dr. Gene Burke, vice president and executive medical director for clinical effectiveness at Sentara Healthcare. That includes asking doctors, nurses and visitors if they’ve washed their hands and questioning medications and tests not discussed previously with a doctor. “Don’t feel in the least bit timid,” Burke advises. “A responsible caregiver won’t take it as insulting. They will welcome having a partner in the process.” Patients and family members also should repeat back instructions from doctors and medical staff to ensure they’re clearly understood. In addition, patients should know the basics of how medical monitors work and, if they have a catheter, intravenous line or ventilator, have a daily conversation with a doctor about the need for that device. Catheters, IVs and ventilators raise the risk of, respectively, urinary tract infections, bloodstream infections and pneumonia. Patients with an IV in their hand or arm should expect to have it changed every two or three days, Burke adds, and catheter bags should never be raised above a patient’s bladder (otherwise, urine can run back

“For a long time, hospital-acquired infections were taken as a cost of doing business. Now we see that if we create an atmosphere of awareness and accountability, most of them are preventable.”— Dr. Gene Burke to write what a medication is for on a prescription—“for arthritis,” next to Celebrex, say—and for the consumer to ask questions if a refilled medication looks different. “It may simply be a new generic product,” Merryfield notes, “but it’s always smart to check.”

3. NEGATIVE DRUG INTERACTIONS Every medication has the potential to do harm in combination with another drug, whether by reducing effectiveness or doing dangerous damage. The blood thinner Coumadin, taken with certain overthe-counter painkillers such as Aleve and Motrin, for example, can lead to serious gastrointestinal bleeding. Patients need to make sure their pharmacist and all of their doctors have a written list of every medication they take, Merryfield says—not just prescriptions but also over-the-counter pills, vitamins, supplements and herbals. Filling prescriptions at a single pharmacy helps, Merryfield adds. Pharmacies keep detailed records on each customer and can double-check for potential interactions. “If you go to too many places, sometimes the right hand may not know what the left hand is doing,” he warns. Patients also should read labels carefully to learn about proper dosing, common side effects and instructions on when and how to take a medicine, including the time of day and whether to take it with or without food.

4. IN-HOSPITAL ERRORS Preventable infections and medication mistakes are

into the body). “For a long time, these infections were taken as a cost of doing business,” he says. “Now we see that if we create an atmosphere of awareness and accountability, most of them are preventable.”

5. SURGICAL ERRORS Patients who know their medical history— medications, allergies and previous surgeries—are great allies for surgeons, says Dr. Marshall Cross, a general surgeon with Riverside Medical Group. He recommends that everyone keep a card with a detailed, up-to-date history in their wallet. “Somebody might say to me, ‘I don’t know, they worked on my stomach,’ ” Cross says. “That could mean so many things. If I’m going back into that abdominal area, [the patient’s accurate knowledge of previous surgeries] could make a difference as to how I approach it.” Similarly, a patient who doesn’t report a history of heart problems is more likely to get into trouble during surgery. Following preoperative instructions is crucial to avoiding surgical problems. And if an operation is on a body part of which there’s more than one, such as an arm or leg, patients should be awake and aware to ensure the surgeon marks the correct body part with a permanent marker. Patients also can ask if there’s a “time-out” procedure once they’re on the operating table—a moment when the operating team pauses to confirm they have the right patient and are about to do the right procedure. “If patients aren’t sure about what’s going to happen,” Cross says, “absolutely they should ask questions.” HJ

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FEATURE To Help Prevent Medical Errors, Take an Active Role in Your Health Care Keep a list of current medications (including over-the-counter meds) and any dietary or herbal supplements (including the dosage of each) and share it with your physician.

Never take a medication without first discussing with your provider the possible side effects (including allergic reactions) or interactions with other medications, food or alcohol. Know the name of each medication prescribed and its intended effect.

Pay attention to warning signs on the labels of prescription and over-thecounter medications.

To reduce pharmacy error, make sure your doctor’s handwriting is legible on any written prescription.

Research the hospital or clinic where you’ll be having a procedure performed and compare its quality of service to other facilities in your area. Visit the facility ahead of time. If having surgery, request to have the surgical site marked on your body with permanent marker.

Appoint a family member or friend to serve as your advocate if you are hospitalized. He or she can take notes, ask questions and alert the staff quickly if you have a reaction to a medication.

Follow up on test results; don’t assume that no news is good news.

Have a solid understanding of any medical conditions you may have as well as of any procedure you may be having.

THE HEALTH JOURNAL November 2009

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SECOND OPINION

Q. I get frequent, painful headaches. How do I know if they are migraines?

Nearly all of us have the occasional headache, but most of us believe we can handle them. We take an overthe-counter pain medication and before we know it, the headache disappears. As universal as headaches are, though, the symptoms are more complicated and unique than you might realize. What hurts when you have a headache? The bones of the skull and tissues of the brain don’t because they lack pain-sensitive nerve fibers. Several areas of the head can hurt, however, including the network of nerves that extend over the scalp as well as certain nerves in the face, mouth and throat. Also sensitive to pain, because they contain delicate nerve fibers, are the muscles of the head and neck as well as

If you think you or someone around you is having a stroke, act

FACE: Ask the person to smile. Does one side of the face droop? ARMS: Ask the person to raise both arms. Does one arm drift downward? SPEECH: Ask the person to repeat a simple sentence. Are the words slurred? Can he/she repeat the sentence correctly? TIME: If the person shows any of these symptoms, time is important. Call 911 or get to the hospital fast. Brain cells are dying. Source: National Stroke Association

hold for a few hours to several days. In the United States, the annual direct cost of treating migraine is estimated at more than $1 billion, and Cluster headaches, which are more the indirect costs are even greater—including the agprevalent in the spring and fall, can be gregate effects of migraine mistaken for seasonal allergies. on productivity at work, at home and in other roles. The total cost of lost problood vessels found along the surface duction time in the U.S. workforce due to migraine is $20 billion per year. and at the base of the brain. Women experience migraine at Types of headaches least three times more often than Headache types range from tension men, suggesting hormones are inheadaches to early symptoms of seri- volved. Since migraine is most prevalent in women 25 to 55 years of age, ous neurological conditions: • Episodic tension-type headaches the condition can disrupt family life, occur randomly and are often the result including relationships with spouses, of temporary stress, anxiety, fatigue children and friends. or anger. They can resemble vice-like aches in your temples, head and neck. • Chronic tension headaches are those that occur just about every day. The frequency of this type of headache distinguishes it from the episodic one, though each will send you in search of aspirin or other non-prescription medications. A long walk, a good night’s sleep and relaxation methods may also bring relief. • Migraine headaches cause biochemical changes in the brain, prompting blood flow to shift and thus triggering pain signals within the head and neck. This prevalent headache disorder has a substantial impact on the individual, the family and society. It can put your life on

F.A.S.T:

• Cluster headaches are a rare form of headache notable for their extreme pain and pattern of occurring in “clusters,” usually at the same time or times of day for several weeks. Their onset is swift, usually accompanied by excruciating pain on one side of the head, often behind or around the eye. The pain usually peaks over a period of five to 10 minutes and continues at the same intensity for up to an hour or two before disappearing. Most affected individuals experience one to three episodes a day and two cluster periods a year separated by symptom-free periods. Cluster headaches usually occur during spring and/ or autumn and thus are often incorrectly associated with allergies.

THE HEALTH JOURNAL November 2009

More than just a headache? A sudden, severe headache with no known cause can be an early sign or symptom of stroke. Mild to moderate headaches are associated with transient ischemic attacks (TIAs), sometimes called “mini-stroke,” which result from a temporary lack of blood supply to the brain. (Symptoms may include temporary weakness, tingling, numbness or paralysis on one side of the body and or impaired speech, vision, cognition or walking.) The head pain occurs near the clot or lesion that is blocking blood flow. Careful management of stroke risks—such as high blood pressure, high cholesterol and diabetes—through diet, exercise and medication can prevent many strokerelated headaches. Headaches caused by hunger or occasional muscle tension are easily remedied. But like other types of pain, a headache may signal a more serious underlying disorder. Seek medical care if: • The headache is severe and unlike any other headache you’ve had; • The headache is sudden, severe and accompanied by fever or convulsion; • You feel confused or lose consciousness; • The headache produces pain in the eyes and ears; • You feel a persistent headache yet have no history of headaches. HJ

Tha Thomas U, MD, MPH, is a board-certified neurologist with Sentara Neurology Specialists. He practices in Suffolk.

www.thehealthjournals.com

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THE REFORM ISSUE

Understanding the Public Option This month both the House and Senate will debate individual versions of sweeping health care reform legislation aimed at reducing costs, expanding coverage for Americans and regulating the private insurance market. President Barack Obama, who has made health reform his number-one domestic priority, has set a yearend deadline for enacting a bill. Here, The Health Journal provides a brief guide to understanding a pivotal piece of the puzzle—the public option. The public option—what is it? The public option, more recently dubbed the “consumer option,” refers to a governmentrun health insurance program that would be made available to those not already insured through an employer-sponsored health plan or Medicaid. Those who support a public option argue it would increase competition among private insurers (who are currently exempt from anti-trust laws) and drive costs down, while opponents say it would drive insurers out of business.

Where does it stand in the House and Senate? The public option will be at the heart of the Senate and House debates. At press time, the House had merged several preliminary bills into one and expected it to reach the chamber’s floor for debate by the first week of this month. The Senate was to go through the same process with its bill (see box at right). After each bill is debated on its respective floor—a process that could result in a Republican filibuster, a tactic used to kill legislation via unlimited debate—each chamber must vote on its bill. If each chamber passes a bill, both versions will be reconciled into one comprehensive bill and then sent back to each chamber for final vote before the bill is placed on the president’s desk.

one million Virginians) and help them pay for it via government subsidies. The caveat? The proposed legislation must not cost more than $900 billion upfront, remain budget-neutral (i.e., not add to the federal budget deficit) after 10 years and not further tax the middle class. The proposed cost-saving and revenue-generating practices such as taxing top-tier health plans, increasing efficiencies, and establishing malpractice caps (i.e., tort reform) will only offset so much of the cost of insuring millions. Some lawmakers note that the $894-billion price tag on the House’s current bill hinges on an estimated 21 percent cut (due in 2010) to alreadytoo-low Medicare reimbursements to physicians, which in some parts of the country are forcing physicians to limit new Medicare patients. The American Medical Association is asking Congress to postpone these cuts yet another year, but a motion to end the cuts is an entirely unique bill outside of the scope of reform. HJ

How will the public option be funded? The devil is in the details. President Obama expects any health reform legislation to provide access to care for a majority of the currently 46.3 million uninsured Americans (including

“I am afraid of public-run health care [because it will come] between doctor and patient. I do not see why the government cannot establish a framework of laws to increase competition in the private insurance market..” —Joseph S., construction company president

“The only people benefiting from the existing health care system are insurance companies and their stockholders. —Susan B., non-profit director “We have a free-market system now. Can the government do a better job than the insurance industry? I don’t know. I fear the government will become a middleman, creating too much red tape.” —Jennifer I., NASA physicist

I believe that every person deserves the right to health care. —Kendra C., 2009 Virginia Tech graduate, currently unemployed “I don’t want the government to run my life any more than [it does] now.” —Cindy S., office administrator “I think the public option is a distraction from the goal of insuring everyone so that there are fewer “free riders” in the health care system. The entire payment structure for health care is based on an inflated set of charges for goods and services that are intended to cover the costs of those who do not pay, and those who do not pay enough to cover their costs.” —Peter M., health care attorney

What is the “trigger”? Some lawmakers (including Republican Senator Olympia Snowe of Maine, whose vote against party lines allowed a reform bill to pass through the Senate Finance Committee) support a “trigger,” or a clause in legislation that would activate the public option only if the insurance market fails to regulate itself. Democrats say a trigger would only delay or kill real reform; Republicans believe a public option would only pave the way for a single-payer system, or a biggovernment takeover.

“[My husband] and I both feel strongly in favor of a public option. After all, it’s only an option—folks will still have other choices. —Patty A., home health company director

A tale of two bills House—The current bill would offer coverage to 36 million American citizens by 2019 and reduce the budget deficit in 10 years. It would require the government to negotiate payment rates with care providers and all but the smallest companies to offer health benefits. Private insurers would not be allowed to deny or quit coverage based on pre-existing health conditions. The bill calls for an insurance mandate, meaning all citizens would be required to obtain coverage either through their employer or independently. Senate—A bill is still under development and has been sent to the Congressional Budget Office for a cost estimate before it hits the Senate floor. The original bill introduced by the Senate Finance Committee (i.e., the “Baucus Bill,” named for committee leader Max Baucus, [D-Mont.]) lacked a public option, but recently Senate Majority Leader Harry Reid (D-Nev.) included it in the final version, but states may have the ability to “opt out.” The final bill may call for an individual mandate, similar to how people are required to purchase car insurance or face a penalty.

THE HEALTH JOURNAL November 2009

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PREVENTION

A New Flu Season Widespread cases of H1N1 in Hampton Roads inject new fear into this year’s flu season Written By Sharon Cindrich

ore throat, muscle aches, fever, coughs and sneezes. It’s flu season again, and while each year brings a variety of strains and flu outbreaks, the prevalence of new H1N1 flu is making this year’s flu season even trickier—and more treacherous—than usual. Many people do not have immunities to the 2009 H1N1 “swine flu” virus, which has spread so fast that the World Health Organization has declared it the first pandemic in almost 40 years. Unlike most flu viruses, which peak in January and February, the H1N1 virus caused illness throughout the summer months (when flu viruses are rare) and is now running rampant through our region. It’s not too late to get vaccinated. Local health departments are offering free H1N1 vaccine clinics, though supplies wax and wane. The state is expecting additional shipments this month, but it is not clear how many of the estimated 6.8 million doses made available in the U.S. will be allocated to Hampton

Roads. The CDC has designated Dec. 6–12 National Influenza Vaccination Week to emphasize the importance of continuing flu vaccinations through the months of December and January. As flu season progresses, review these general facts about the flu as well as specific recommendations relating to the novel H1N1 strain:

1) What are the symptoms of the flu? Cough, sore throat, body aches, headache, chills and fatigue are the most common flu symptoms. H1N1 Update—While diarrhea and vomiting can be associated with the general flu, these symptoms may be more common in individuals with the H1N1 flu virus.

2) Who is most at risk? Anyone can get the flu. Traditionally, however, infants, pregnant women, the elderly and those with

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underlying medical conditions are more at risk of serious complications or death. H1N1 Update—This year’s H1N1 flu has been more prevalent than other flu types among five to 24-year-olds, making this population first in line (behind health care workers, some infants, and pregnant women) to get the vaccine. Unlike with the seasonal flu, those 65 and older are not considered highrisk. It is suspected that older individuals may have developed some immunity to the H1N1 flu strain if they were alive during the 1950s swine flu outbreak.

3) Should I get vaccinated? Each year the CDC recommends that seasonal flu vaccines are the best way to protect against anticipated flu strains. H1N1 Update—The seasonal flu vaccine does not protect individuals against the H1N1 flu strain, so a second vaccine specific to the H1N1 flu has

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THE HEALTH JOURNAL November 2009

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PREVENTION

been developed and is being offered in clinics across the country. There are two forms of vaccine: a shot and a nasal mist. Ask your doctor which form of the vaccine is right for you, as the mist is not recommended for everyone. Those who do get the H1N1 vaccine should remember that it takes two weeks to become effective.

4) What do I do if I get the flu? The seasonal flu can be treated with any one of four antiviral medications. These prescription medications are sometimes used to prevent the flu in cases where a high-risk individual has been in close contact with someone who has the flu. These drugs, if taken early, may lessen the symptoms associated with the flu or possibly prevent serious complications.

H1N1 Update—Due to the concerns about H1N1, websites have cropped up to publicize flu news and reported cases. For instance, the Department of Health and Human Services has set up www.flu.gov for this purpose.

Additional Tips Proper hand-washing and vaccines may be a familiar routine for preventing the flu, but this year extra caution is being taken to educate the public and encourage preventative measures. People carrying the H1N1 virus may be contagious even before they show symptoms. Follow these tips to protect yourself and others from this year’s flu strains.

• Get a seasonal flu vaccine.

H1N1 Update—Of the four antiviral medications, only two appear to be effective against the H1N1 flu virus—Oseltamivir (TAMIFLU®) and Zanamivir (RELENZA®). An antiviral should be administered within 48 hours of the first symptoms for maximum effectiveness.

Talk to your family doctor about the flu vaccine. Certain individuals, such as pregnant women, infants, the elderly and people with underlying medical problems, are more susceptible to seasonal flu and complications from it. The CDC recommends the seasonal flu vaccine as one of the best measures to help people stay healthy.

5) How can I follow news about the flu?

• Get an H1N1 flu vaccine.

When serious flu outbreaks occur, local health departments may issue warnings or recommendations to the public. School districts may also inform parents of local outbreaks.

While the vaccine may be difficult to get in some areas, those at high risk for infection should get the vaccine as soon as possible. Call your health department, school district or family doctor for updates

about when and where clinics are being held in your community.

• Remember hygiene. Hand-washing remains one of the most effective ways to prevent the spread of influenza. Use soap and water to frequently wash your hands, or use hand sanitizers that contain at least 60 percent alcohol. Keep hands away from your eyes, mouth and nose and cover your mouth and nose with your arm when you sneeze.

• Stay home if you are sick. Aside from a visit to the doctor, the CDC recommends that if you do get the flu, stay home for at least 24 hours after your fever is gone (without the use of fever-reducing medicines) before returning to work, school or social gatherings. HJ

For updates about H1N1 and the seasonal flu virus as well as a list of vaccination sites in your area, visit www.flu.gov.

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Health Directory Emergency Numbers National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222

Allergists & ENT Allergy & Asthma of Oyster Point-Williamsburg 217 McLaws Cir., Suite 5 Williamsburg (757) 873-3882 Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 345-2600 VA Adult & Pediatric Allergy & Asthma PC 1144 Professional Drive Williamsburg (757) 259-0443 Williamsburg ENT - Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

Assisted Care & Senior Living Chambrel of Williamsburg 3800 Treyburn Dr. Williamsburg (757) 220-1839

Chiro Care Plus, PC 3204-A Ironbound Rd. Williamsburg (757) 565-6464

Thomas J. Morris, DDS 491 McLaws Cir., Suite 1 Williamsburg (757) 253-0598

Commonwealth Family Chiropractic 140 Professional Cir. Williamsburg (757) 220-9670

Robert F. Morrison, DMD William Broas, DDS Pete Foster, DDS Ira Goldstein, DDS Shanail Moorman, DDS Stephen L. Murphy, DDS 1131 Professional Drive Williamsburg (757) 220-0330 7151 Richmond Rd., Ste. 305 Williamsburg (757) 258-7778

Christopher Connolly, DC 5252 Old Towne Rd. Williamsburg (757) 220-0060 Teresa Green, L Ac 7131 Richmond Rd., Ste. 302 Williamsburg (804) 561-1258 Integrative Chiropractic & Acupuncture 1318 Jamestown Rd., Suite 102 Williamsburg (757) 253-1900 Performance Chiropractic 1307 Jamestown Rd., Suite 103 Williamsburg (757) 229-4161 Pinto Chiropractic & Rehabilitation 5372 Discovery Park Blvd. Williamsburg (757) 645-9299 Platinum Chiropractic 3709-D Strawberry Plains Rd. Williamsburg (757) 229-6069 The Spine Center of Williamsburg 219 McLaws Circle Daniel S. Carlson, DC Williamsburg (757) 259-0077 Mark Croucher, DC Williamsburg (757) 259-1122 Walsh Family Chiropractic, PC 1309 Jamestown Rd. Williamsburg (757) 220-4917 Williamsburg Chiropractic Clinic 5252-A Olde Towne Rd. Williamsburg (757) 220-0060

Colonial Manor 8679 Pocahontas Trail Williamsburg (757) 476-6721

Dentistry & Oral Health

Consulate Health Care 1811 Jamestown Rd. Williamsburg (757) 229-9991

Boxx, Blaney Lachine & Bowe 1118-A Professional Drive Williamsburg (757) 229-5570

Dominion Village of Williamsburg 4132 Longhill Rd. Williamsburg (757) 258-3444

D. W. Cherry, DDS 2225 S Henry St. Williamsburg (757) 253-2500

Heritage Commons 236 Commons Way Williamsburg (888) 711-6775

Michael J. Coleman, DDS 6969 Richmond Rd. Williamsburg (757) 564-0041

Madison Retirement Center 251 Patriot’s Lane Williamsburg (757) 220-4014

Curry Dental Center 312-H Lightfoot Rd. Williamsburg (757) 220-3450

Morningside Of Williamsburg 440 McLaws Circle Williamsburg (757) 221-0018

Bruce DeGinder, DDS 240 McLaws Circle, Ste. 153 Williamsburg (757) 220-9492

Patriots Colony at Williamsburg 6000 Patriots Colony Dr. Williamsburg (757) 220-9000

Mark M. Neale, DDS, MAGD 5000 New Point Rd., Ste. 2101 Williamsburg (757) 229-8050 Sebastiana Springmann, DDS Sonia Tao Yi, DDS Maria L. Freyfogle, DMD, MAGD, ABGD 4939 Courthouse Street Williamsburg (757) 259-0741 Norge Dental Center 7450 Richmond Rd. Williamsburg (757) 564-0804 Edward A. Owens, DMD 211 Bulifants Blvd., Bldg. 14, Ste. A Williamsburg (757) 229-6414 Parks Orthodontics 1116-A Professional Dr. Williamsburg (757) 253-0521 Christine Piascik, DDS 1769 Jamestown Rd., Suite B Williamsburg (757) 229-8920 Richard A. Pugliese, DDS 502 Strawberry Plains Rd. Williamsburg (757) 259-9703 Nancy Yang Schumann, DDS 5309 Discovery Park Blvd. Williamsburg (757) 564-0900 Ronald J. Smalls, DDS 1309 Jamestown Rd., Suite 103 Williamsburg (757) 229-0620 K. L.Tankersley, DDS, MD 1147 Professional Dr. Williamsburg (757) 258-8913 David G. Walker, DDS 813 Richmond Rd. Williamsburg (757) 229-6278 Williamsburg Oral & Maxillofacial Surgery 195 Strawberry Plains Rd. Williamsburg (757) 229-6692

We’ve done our best to include every health-related practice or service in Greater Williamsburg. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.

Diagnostic Imaging Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714 Riverside Diagnostic Center 120 Kings Way, Suite 1200 Williamsburg (757) 345-6700 Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000

Williamsburg Endocrinology, Inc. 207 Bulifants Blvd., Ste. D Williamsburg (757) 565-9586

Quarterpath Recreation Center 202 Quarterpath Rd. Williamsburg (757) 259-3770

Hampton Roads Ear, Nose and Throat 11842 Rock Landing Dr., Ste. 100 Newport News(757) 873-0338

Family Practice

R. F. Wilkinson Family YMCA 301 Sentara Circle Williamsburg (757) 229-9622

Hearing Evaluation & Noise Protection Assoc., Inc 1321 Jamestown Rd., Suite 104 Williamsburg (757) 229-4335

Family Care of Williamsburg 117-A Bulifants Blvd. Williamsburg (757) 565-5440 Tommy Johnson, MD 1313 Jamestown Rd., Ste. 103 Williamsburg (757) 229-1259 Bruce Mayer, MD, PC 4622 Rochambeau Drive Williamsburg (757) 566-2045 New Town Family Practice 4374 New Town Ave., Ste. 200 Williamsburg (757) 220-2795 Riverside Williamsburg Medical Arts Family Practice 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555

Gastroenterology

Williamsburg Family Physicians 227 McLaws Circle Williamsburg (757) 564-8182

Spring Arbor 935 Capitol Landing Rd. Williamsburg (757) 565-3583

Gisela K. Fashing, DDS 325 McLaws Circle, Suite 1 Williamsburg (757) 229-8991

Williamsburg Periodontics & Implants 200 Packets Court Williamsburg (757) 221-0249

Williamsburg Landing 5700 Williamsburg Landing Dr. Toll-Free (800) 554-5517

Gilbert J. Frey, DDS Lawrence R. Samiere, DDS 1161 Professional Dr. Williamsburg (757) 253-0400

Peninsula Williamsburg Cardiology Associates 120 Kings Way, Suite 2500 Williamsburg (757) 565-0600

Chiropractic & Acupuncture Acupuncture Works, Inc. 362 McLaws Circle, Suite 2 Williamsburg (757) 565-9611 Beverly E. Boone, DC 213 McLaws Circle, Ste. 1 Williamsburg (757) 596-7605

Hampton Roads Oral & Maxillofacial Surgery 1147 Professional Drive Williamsburg (757) 258-8913 Paul Hartman, DDS 1323 Jamestown Rd., Suite 203 Williamsburg (757) 253-2393 Adam J. Kadolph, DDS 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737 Lifetime Family Dental 7349 Richmond Rd. Williamsburg (757) 564-8942 Carol F. Morgan, DDS 1130 Old Colony Ln. Williamsburg (757) 220-6727

Dermatology Specialists 475 McLaws Cir., Suite 1 Williamsburg (757) 259-9466 Bruce E. Fuller, MD 120 Kings Way, Suite 3300 Williamsburg (757) 564-9220 Joseph W. Musgrave, MD 1139 Professional Dr. Williamsburg (757) 220-2266 Pariser Dermatology Specialists 207 Bulifants Blvd., Suite C Williamsburg (757) 564-8535 Schumann Dermatology Group 5309 Discovery Park Blvd. Williamsburg (757) 564-1200

Transitions Lifestyle 3244 Windsor Ridge S. Williamsburg (757) 645-5737

TPMG Norge Family Practice 7151 Richmond Road., Suite 405 Williamsburg (757) 564-3700

Peter S. Evans, DDS 120 Kings Way, Ste. 1300 Williamsburg (757) 220-1999

Cardiovascular Health, PLLC 117 Bulifants Blvd., Ste. B Williamsburg (757) 259-9540

Tidewater Systema Russian Martial Art Williamsburg (757) 810-8104

WJCC Recreation Center 5301 Longhill Road Williamsburg (757) 259-4200

Ruxton Health of Williamsburg 1235 S. Mt. Vernon Ave. Williamsburg (757) 229-4121

Advanced Cardiovascular Institute 5215-A Monticello Ave. Williamsburg (757) 229-1440

Sante Living! 5301 Birdella Dr. Williamsburg (757) 208-0314

TPMG Family Medicine 132 Professional Circle Williamsburg (757) 645-2981

Williamsburg Family Dentistry 213 Bulifants Blvd., Ste. 15-E Williamsburg (757) 345-5500

Dermatology Center of Williamsburg 5335-A Discovery Park Blvd. Williamsburg (757) 645-3787

Results Personal Training Studio Inc. 3206-C Ironbound Rd. Williamsburg (757) 565-5000

Williamsburg Indoor Sports Complex (WISC) 5700 Warhill Trail Williamsburg (757) 253-1947

Sam E. English, DDS 4680-16A Monticello Ave. Williamsburg (757) 258-1042

Hampton Roads Neuromuscular & Aesthetic Dentistry 1313 Jamestown Rd., Ste. 205 Williamsburg (757) 229-3052

Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221

Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300

Riverside Adult Daycare 3435 John Tyler Hwy., Bldg. 2, Ste. 1-A Williamsburg (757) 565-5305

Cardiology

Hospital-grade Breast Pumps & Supplies Williamsburg (757) 565-6156

Colonial Center For Hearing 337 McLaws Circle, Suite 3 Williamsburg (757) 229-4004

John P. Doley, DDS 1116-A Professional Dr. Williamsburg (757) 229-4181

Dermatology

Metabolic Balance Hilltop Medical Center 1788 Republic Rd., Ste. 202 Virginia Beach (757) 228-1241

Pilates With Cindy 6580 Wiltshire Road Williamsburg (757) 645-2542

Fitness & Weight Management

Terry H. Hake, DDS 1761 Jamestown Rd. Williamsburg (757) 229-4115

General Nutrition Center 4680-18B Monticello Ave. Williamsburg (757) 565-5100

Endocrinology

Williamsburg Dental Group 1319 Jamestown Rd. Williamsburg (757) 229-7210 106 Bacon Ave. Williamsburg (757) 229-3099

WindsorMeade of Williamsburg 3900 Windsor Hall Drive Williamsburg (757) 941-3615

Ladies Workout Express 3709-B Strawberry Plains Rd. Williamsburg (757) 220-2992

Hearing & Audiology

Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 345-4600

Wyatt Orthodontics 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737

The Daily Shake 6576 Richmond Rd. Williamsburg (757) 221-0228

The Pilates Center 1130 Old Colony Lane, Suite 201 Williamsburg (757) 229-5002

Women's Imaging Center 100 Sentara Circle Williamsburg (757) 984-6000

Williamsburg Orthodontics 4097-A Ironbound Rd. Williamsburg (757) 253-1200

Walter G. Winneberger, DDS 104 Bypass Rd., Suite 202 Williamsburg (757) 229-6960

Knee Pond Yoga, LLC 3356 Ironbound Rd., Bldg. 2, Ste. 202-B Williamsburg (888) 524-4985

Anahata Yoga Center 104 Bypass Road, Suite 201 Williamsburg (757) 253-0080 B-defined Personal Training 4801 Courthouse St., Suite 122 Williamsburg (757) 345-6801 Body Balance Studio 370 McLaws Circle Williamsburg (757) 221-0774 Bodyfit 5251 John Tyler Hwy. Williamsburg (757) 221-6688 CORE FITNESS Performance Training Center 344 McLaws Circle Williamsburg (757) 564-7311 Curves For Women 4511-B John Tyler Hwy. Williamsburg (757) 221-0330 107-A Bulifants Blvd. Williamsburg (757) 565-5655

Colonial Gastroenterology 400 Sentara Circle, Suite 350 Williamsburg (757) 253-5771

Williamsburg Ear, Nose and Throat 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Williamsburg ENT-Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

Hearing Aids Beltone/Ledford Audiology & Hearing Aid Center 1303 N. Mount Vernon Ave. Williamsburg (757) 220-8975 Bowers Assistive Hearing Service 113-L Palace Lane Williamsburg (757) 220-3674 Hearing Health Care Centers of Williamsburg 5107-B Center St. Williamsburg (757) 206-1900 Moran Hearing Aid Center 1158-C Professional Dr. Williamsburg (757) 564-5902

Peninsula Gastroenterology 120 Kings Way Williamsburg (757) 345-6411

Hospice & Home Care

TPMG Williamsburg Gastroenterology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

Agape Home Care 354 McLaws Circle, Suite 1 Williamsburg (757) 229-6115

Williamsburg Gastroenterology 457 McLaws Circle, Suite 103 Williamsburg (757) 221-0750

At-Home Care 366 McLaws Circle, Suite 2 Williamsburg (757) 220-2112

General Surgery

Bayada Nurses 7151 Richmond Rd., Suite 201 Williamsburg (757) 565-5400

Hampton Roads Surgical Specialists 120 Kings Way, Ste. 2800 Williamsburg (757) 345-0141 TPMG Colonial Surgery 105 Bulifants Blvd., Suite B Williamsburg (757) 345-2071 Williamsburg Surgery, PC 500 Sentara Circle, Ste. 202 Williamsburg (757) 984-9850

Hand Surgery Robert A. Campolattaro, MD Nicholas Smerlis, MD 5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004

Equilibrium Exercise Gallery 7880 Richmond Rd. Toano (757) 566-0077

Health Products & Equipment

FT - Fitness Together 4854 Longhill Rd., Ste. 1-A Williamsburg (757) 345-2246

Bike Beat 4640 Monticello Ave., Ste. 9-B Williamsburg (757) 229-0096

Hatha Yoga Classes 5800 Mooretown Rd. Williamsburg (757) 564-0001

Bikesmith of Williamsburg 515 York Street Williamsburg (757) 229-9858

Healthy Equation 701 Merrimac Trail, Ste. K Williamsburg (757) 200-5838

Bikes Unlimited 141 Monticello Avenue Williamsburg (757) 229-4620

Ironbound Gym 4325 New Town Avenue Williamsburg (757) 229-5874

Ceo Maidin Feirm Community Supported Agriculture Program Toano (757) 566-0009

Jazzercise 455 Merrimac Trail Williamsburg (757) 220-8020

Conte's Bicycle & Fitness 4919 Courthouse Street Williamsburg (757) 565-1225

To advertise, call 757-645-4475

Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 253-1832

Brookside Home Health 460 McLaws Circle, Ste. 250 Williamsburg (800) 296-2536 Comfort Keepers 15441-A Pocahontas Trail Lanexa (757) 229-2777 / (804) 966-1997 Concordia Group 1524-C Merrimac Trail Williamsburg (757) 229-9930 Hand 'N' Heart 461 McLaws Circle, Ste. 3 Williamsburg (757) 565-0216 Harmony Care 106 Queen Anne Dr. Williamsburg (757) 784-7650 Hope In-Home Care 4512 John Tyler Hwy., Ste. G Williamsburg (757) 220-1500 Hospice of Virginia 7231 Forest Ave., Ste. 100 Richmond (804) 281-0451 Hospice of Virginia Hampton Roads (800) 501-0451 Hospice Support Care 4445 Powhatan Pkwy. Williamsburg (757) 253-1220 Intrepid USA 212 Packets Court Williamsburg (757) 220-9331 Karya Home Care, Inc. 376 McLaws Circle, Ste. B1 Williamsburg (757) 259-7411

THE HEALTH JOURNAL November 2009

Personal Touch Home Care & Hospice of Va. 5581 Bulifants Blvd. Williamsburg (757) 564-6455

Neurology & Neurosurgery

Sentara Home Care Services 1100 Professional Dr. Williamsburg (757) 259-6251

Hampton Roads Neurosurgical & Spine Specialists 120 King's Way, Suite 3500 Williamsburg (757) 220-6823

Therapeutic Holistic Wellness Care 311 Raven Terrace Williamsburg (757)645-2926

Hospitals & Clinics Angels of Mercy Medical Clinic 7151 Richmond Rd., Suite 401 Williamsburg (757) 565-1700 Berkeley Outpatient Medical & Surgical Center 136 Professional Circle Williamsburg (757) 253-2450 First Med of Williamsburg 312 Second St. Williamsburg (757) 229-4141

Riverside Williamsburg Neurology & Sleep Disorders Center for Adults & Children 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

Ophthalmology Advanced Vision Institute 5215 Monticello Ave. Williamsburg (757) 229-4000 Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001 Anthony J. DeRosa, MD 101 Tewning Rd. Williamsburg (757) 229-1331

Sentara Neurology Specialists 400 Sentara Circle, Suite 305 Williamsburg (757) 388-6105

Paul J. McMenamin, MD 1155 Professional Dr. Williamsburg (757) 565-2500

Non-Profit Organizations

Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

Alzheimer’s Association 213-B McLaws Circle Williamsburg (757) 221-7272 American Red Cross 1317 Jamestown Rd., Suite 105 Williamsburg (757) 253-0228

Optometry Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

Wal-Mart Visit www.walmartpharmacies.com for local listings.

Jose A. Erfe, MD and Associates 481 McLaws Circle, Suite 1 Williamsburg (757) 229-9286

Positive Energy Massage, LLC 1769 Jamestown Rd. Williamsburg (757) 810-4482

Williamsburg Drug Co. 240 McLaws Circle Williamsburg (757) 229-1041

Family Living Institute 1318 Jamestown Rd., Ste. 101 Williamsburg (757) 229-7927

Saving Face Day Spa 7151 Richmond Rd., Suite 301 Williamsburg (757) 221-0490

Physical Therapy & Rehabilitation

Insight Neurofeedback & Counseling 354 McLaws Circle, Suite 3 Williamsburg (757) 345-5802

Serenity Nail & Spa Studio 1781 Jamestown Rd. Williamsburg (757) 220-8510

Charles L. Koah, LPC 1769 Jamestown Road, Suite 104 Williamsburg (757) 871-3693

Serenity Place Spa & American Spirit Institute 360 McLaws Circle, Ste. 1 Williamsburg (757) 220-8000

BonSecours In Motion Physical Therapy & Sports Performance 5700 Warhill Trail Williamsburg (757) 221-0101 Comber Physical Therapy 101-B Bulifants Blvd. Williamsburg (757) 229-9740 5388 Discovery Park Blvd., Ste. 100 Williamsburg (757) 903-4230 Dominion Physical Therapy & Associates, Inc. 243 McLaws Cir., Suite 102 Williamsburg (757) 564-9628

Eye 2 Eye 1147-A Professional Dr. Williamsburg (757) 259-2300

Norge & The Lymphedema Treatment Center 7151 Richmond Rd., Ste. 191 Williamsburg (757) 345-0753

Eyewear Plus Optometric Center 101 Tewning Rd. Williamsburg (757) 229-1131

PEAK Physical Therapy & Sports Rehabilitation 344 McLaws Circle Williamsburg (757) 564-7381

Hampton Roads Eye Associates 120 Kings Way, Suite 1300 Williamsburg (757) 345-3004

Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221

Child Development Resources 150 Point O' Woods Rd. Norge (757) 566-3300

Richard K. Lodwick, OD Pamela Lundberg, OD 101-A Bulifants Blvd. Williamsburg (757) 564-1907

Riverside Rehabilitation Outpatient Therapy at Williamsburg 120 Monticello Ave., Suite 200 Williamsburg (757) 345-3795

DreamCatchers 10120 Fire Tower Road Toano (757) 566-1775

Carter Murphy, OD 5251 John Tyler Hwy. Williamsburg (757) 229-8660

Sentara Pediatric Rehabilitation Services 5301 Longhill Road Williamsburg (757) 984-9900

Sentara Outpatient Care Center 301 Sentara Circle Williamsburg (757) 984-9900

Faith in Action 354 McLaws Circle Williamsburg (757) 258-5890

Rosser Optical 150-B Strawberry Plains Rd. Williamsburg (757) 220-2020

Sentara Williamsburg Regional Medical Center 100 Sentara Circle Williamsburg (757) 984-6000

FISH 312 Waller Mill Road Williamsburg (757)220-9379

Jeanne I. Ruff, OD, LLC 1107 Richmond Rd. Williamsburg (757) 229-4222

Anne K. Sullivan, Ed 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002

Travel Health of Williamsburg 287 McLaws Cir., Suite 2 Williamsburg (757) 220-9008

Historic Triangle Substance Abuse Coalition 161-A John Jefferson Square Williamsburg (757) 476-5070

Forest Schaeffer Monticello Marketplace Williamsburg (757) 258-1020

Williamsburg Hand Therapy Center 156-B Strawberry Plains Rd. Williamsburg (757) 565-3400

Hypnosis

La Leche League of Virginia Williamsburg (757) 220-9187

Williamsburg Eye Care 101 Bulifants Blvd., Ste. A Williamsburg (757) 564-1907

Williamsburg Physical Therapy 4125 Ironbound Rd., Suite 100 Williamsburg (757) 220-8383

Joan R. Milkavich, LPC 352 McLaws Cir., Suite 3 Williamsburg (757) 564-4590

Meals on Wheels 227 Richmond Rd. Williamsburg (757) 229-9250

Linda Pincus, RN, CH 240 Patrick's Crossing Williamsburg (757) 565-6156

National Alliance on Mental Illness Williamsburg Area Williamsburg (757) 220-8535

Orthopedics & Sports Medicine

Plastic & Cosmetic Surgery

Williamsburg Healthy Hypnosis 1769-107 Jamestown Rd. Williamsburg (757) 254-1104

National Federation of the Blind Williamsburg (757) 565-1185

Tidewater Orthopaedic & Spine Specialists 5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004

Aesthetic Center for Cosmetic & Plastic Surgery 333 McLaws Circle, Suite 3 Williamsburg (757) 345-2275

Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608 MedExpress Urgent Care 120 Monticello Ave. Williamsburg (757) 564-3627 New Town Urgent Care 4374 New Town Ave., Ste. 100 Williamsburg (757) 259-1900 Olde Towne Medical Center 5249 Olde Towne Rd. Williamsburg (757) 259-3258 Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300

Arthritis Foundation-Va. Chapter Toll-Free (800) 456-4687 Avalon 312 Waller Mill Rd., Ste. 300 Williamsburg (757) 258-9362 BikeWalk Virginia P.O. Box 203 Williamsburg (757) 229-0507

TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 4125 Ironbound Rd., Suite 200 Williamsburg (757) 345-5870

Internal Medicine

Peninsula Health District 1126 Professional Drive Williamsburg (757) 253-4813

Kevin R. Bedell, MD 4622 Rochambeau Dr. Williamsburg (757) 566-4246

Senior Services Coalition 161-A John Jefferson Sq. Williamsburg (757) 220-3480

Virginia Orthopedics & Sports Medicine 5335-B Discovery Park Blvd. Williamsburg (757) 253-0603

Greensprings Physicians 2000 Easter Circle Williamsburg (757) 564-5540

SpiritWorks Foundation 5800 Mooretown Rd. Williamsburg (757) 564-0001

Pain Management

Internal Medicine of Williamsburg 227 McLaws Circle Williamsburg (757) 564-8182

The ARC of Greater Williamsburg 202-D Packets Ct. Williamsburg (757) 229-3535

Kingsmill Internal Medicine 477 McLaws Circle, Suite 1 Williamsburg (757) 208-0010

The Center for Excellence in Aging and Geriatric Health 3901 Treyburn Dr., Ste. 100 Williamsburg (757) 220-4751

The Massey Clinic 322 Monticello Ave. Williamsburg (757) 229-0919 New Town Internal Medicine 4374 New Town Ave., Ste. 102 Williamsburg (757) 259-6770 Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 645-3150

Medical Transportation

United Way 312 Waller Mill Rd., Suite 100 Williamsburg (757) 253-2264 Help Line: (757) 229-2222 Williamsburg AIDS Network 479 McLaws Circle, Suite 2 Williamsburg (757) 220-4606

Nutrition The Nutrition and Wellness Center 151 Kristiansand Dr., Suite 101 Williamsburg (757) 221-7074

Lifeline Ambulance 24-Hour Service/ Emergency & Non-Emergency Transportation Toll-Free: (800) 476-5433

Obstetrics & Gynecology

LogistiCare Medicaid Transportation Toll-Free: (866) 386-8311

TPMG Williamsburg OBGYN 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

RIDES Non-Emergency Transportation 7239 Pocahontas Trail Williamsburg (757) 345-6166

Wetchler and Dineen Gynecology 217 McLaws Cir., Suite 5 Williamsburg (757) 229-3254

Nephrology & Renal Health DaVita Williamsburg Dialysis 500 Sentara Circle, Suite 103 Williamsburg (757) 206-1408 Renal Advantage, Inc. 4511-J John Tyler Hwy. Williamsburg (757) 229-5701 7364 Richmond Rd. Williamsburg (757) 229-5890 Sentara Nephrology Specialists 500 Sentara Circle, Suite 102 Williamsburg (757) 984-9700 TPMG Williamsburg Nephrology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

Williamsburg Obstetrics & Gynecology 1115 Professional Dr. Williamsburg (757) 253-5653 Womancare Of Williamsburg 120 Kings Way, Suite 3400 Williamsburg (757) 253-5600

Oncology Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 873-6434 Peninsula Cancer Institute 120 Kings Way, Suite 3100 Williamsburg (757) 345-5724

Tushar U. Gajjar, MD 400 Sentara Circle Williamsburg (757) 345-4400 Tidewater Pain Management 4125 Ironbound Rd. Williamsburg (757) 258-2561

Pediatrics Pediatric Associates of Williamsburg 119 Bulifants Blvd. Williamsburg (757) 564-7337 Williamsburg Pediatric, Adolescent & Sports Medicine 4374 New Town Ave., Ste. 202 Williamsburg (757) 253-5757 400 Sentara Circle, Ste. 310 Williamsburg (757) 253-5757

Sentara Rehabilitation Services 301 Sentara Circle Williamsburg (757) 984-9900

Peninsula Plastic Surgery Center 324 Monticello Ave. Williamsburg (757) 229-5200 Plastic Surgery Center of Hampton Roads 4374 New Town Ave., Ste. 205 Williamsburg (757) 873-3500

Podiatry Michael Dente, DPM, PLC 120 Kings Way, Suite 2900 Williamsburg (757) 345-3022 Lightfoot Podiatry Center 213 Bulifants Blvd., Suite A Williamsburg (757) 345-3679 Williamsburg Foot & Ankle Specialists 453 McLaws Circle, Suite 1 Williamsburg (757) 220-3311

Preventative Medicine Reneau Medical 120 Kings Way, Ste. 2550 Williamsburg (757) 345-3064 Renaissance Integrative Therapy 1158 Professional Dr., Suite D Williamsburg (757) 220-4996

Williamsburg Teen Center 4374 New Town Ave., Ste. 202 Williamsburg (757) 259-5133

Williamsburg Health Evaluation Center 332 N. Henry St. Williamsburg (757) 565-5637

Pharmacies

Prosthetics & Orthotics

CVS Pharmacy Visit www.CVS.com for local listings. Farm Fresh Pharmacy Visit www.farmfreshsupermarkets.com for local listings. K Mart Pharmacy 118 Waller Mill Road Williamsburg (757) 220-2393 Olde Towne Pharmacy 4854 Longhill Rd. Williamsburg (757) 220-8764 Professional Pharmacy 11302 Mount Vernon Dr. Williamsburg (757) 229-3560 Rite Aid Pharmacies Visit www.riteaid.com for local listings. Target Pharmacy 4630 Monticello Ave. Williamsburg (757) 564-9835

Radiation Oncology Specialists 3901 Treyburn Dr., Ste. B Williamsburg (757) 220-4900

Ukrop’s Pharmacy 4660 Monticello Ave. Williamsburg (757) 564-0471 6610 Mooretown Rd. Williamsburg (757) 564-9315

Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

Walgreens Pharmacy 1309 Richmond Rd. Williamsburg (757) 229-0962

Certified Prosthetic & Orthotic Specialists 156-D Strawberry Plains Rd. Williamsburg (757) 833-0911

Psychiatry & Mental Health

New Horizons Family Counseling Center 205 Jones Hall Williamsburg (757) 221-2363

The Skin Clinic 483 McLaws Circle, Suite 1 Williamsburg (757) 564-SKIN

Poplar Creek Psychological & Counseling Center 3305 Poplar Creek Ln. Williamsburg (757) 564-8522

The Spa of Colonial Williamsburg 307 S. England St. Williamsburg (757) 220-7720

Psychological Associates of Williamsburg 1313 Jamestown Rd., Suite 105 Williamsburg (757) 253-1462

The Spa at Kingsmill 1010 Kingsmill Rd. Williamsburg (757) 253-8230

Paul D. Reilly, MD 1115 Old Colony Lane Williamsburg (757) 253-0691

The Spa at Manor Club 101 St. Andrews Dr. Williamsburg (757) 258-1120

Richmond Road Counseling Center 1001-A Richmond Rd., Ste. 2 West Williamsburg (757) 220-2669

Transformative Energy Work 7151 Richmond Rd., Ste. 302 Williamsburg (757) 229-7819

Anne K. Sullivan, EdD, LCP 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002

Tranquil Reflections Massage Therapy & Spa at King's Creek Plantation Resort 111-B Petersburg Circle Williamsburg (757) 345-6789

Williamsburg Center for Therapy 217 McLaws Circle, Suite 2 Williamsburg (757) 253-0371 Williamsburg Psychiatric Medicine, PLLC 372 McLaws Circle, Suite 1 Williamsburg (757) 253-7651 Your Next Chapter Coaching & Counseling Services 1769 Jamestown Rd. Williamsburg (757) 258-0853

Rheumatology Arthritis & Rheumatic Diseases, PC 329 McLaws Circle Williamsburg (757) 220-8579

Sleep Disorders & Pulmonology Pulmonary & Sleep Consultants of Williamsburg, PC 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460

William A. Diog Health Club & Spa 3000 The Mall Williamsburg (757) 565-6545 Williamsburg Pain Relief Breakthrough 1769 Jamestown Rd., Ste. 109 Williamsburg (757) 869-1936 Williamsburg Salt Spa 1111 Old Colony Lane Williamsburg (757) 229-1022

Substance Abuse & Addiction 24-Hr. Addictions Referral Network Toll-Free: (800) 511-9225 Al-Anon Toll-Free: (888) 425-2666 Alcohol-Drug Treatment Referral Toll-Free (800) 662-4357 Alcoholics Anonymous (757) 253-1234

Sentara WRMC Sleep Center 400 Sentara Circle Williamsburg (757) 345-4050

Bacon Street Youth Counseling Center 247 McLaws Circle Williamsburg (757) 253-0111

Sleep Disorders Center at Williamsburg Neurology 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

Colonial Services Board 921 Capital Landing Road Williamsburg (757) 253-4061

Spas & Massage

Families Anonymous Toll-Free: (800) 736-9805

All of You Salon & Day Spa 511 York Street Williamsburg (757) 784-1869

Narcotics Anonymous (757) 875-9314

Blue Sky Wellness - Reiki & Reflexology 5008 Liza Lane Williamsburg (757) 876-6185 Nicole Carson, NCTMB 1769-210 Jamestown Rd. Williamsburg (757) 561-9591 Elements Spa at Great Wolf Lodge Resort 559 E. Rochambeau Dr. Williamsburg (757) 229-9700 European Beauty Concepts 1248 Richmond Rd. Williamsburg (757) 229-2440 European Day Spa 3206 Ironbound Rd., Ste. A Williamsburg (757) 220-4959 Illusions by Marcus 374 McLaws Circle, Ste. 1 Williamsburg (757) 253-7790 Jamestown Therapeutic Massage 4608 Yeardley Loop Williamsburg (757) 784-8093 Jana Roselynn Laird, NCTMB 4939 Courthouse Road Williamsburg (757) 846-5707

Opiate Addiction Specialists Williamsburg (757) 229-4141 Williamsburg Place & The Farley Center 5477 Mooretown Rd. Toll-Free: (800) 582-6066

Urology Hampton Roads Urology 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051 TPMG Williamsburg Urology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

Vascular Surgery Peninsula Vascular Surgery 156-A Strawberry Plains Rd. Williamsburg (757) 229-7939 Pitman Surgical Associates 326 Monticello Ave. Williamsburg (757) 229-4958

Massage Therapy Center 1158-A Professional Drive Williamsburg (757) 880-9020 Refresh! Center for Massage & Healing 7151 Richmond Rd., Ste. 302 Williamsburg (757) 345-2457 The Right Touch 5252 Olde Towne Rd. Williamsburg (757) 229-1866

ADR Clinical Associates 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-8800 Ali Aziz, MD 481 McLaws Cir., Ste. 1 Williamsburg (757) 229-9286 Colonial Services Board 1657 Merrimac Trail Williamsburg (757) 220-3200 Lester Dubnick, EdD 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-0645 Eastern State Hospital 4601 Ironbound Rd. Williamsburg (757) 253-5161

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

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THE HEALTH JOURNAL November 2009

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www.thehealthjournals.com

Enter The Health Journal’s

HEALTH & BEAUTY

Beauty and the Budget The Health Journal’s female staffers and editors share their best recession-friendly health and beauty tips.

Food and fellowship are the hallmarks of every holiday. But what about those who are watching their waistline, or those who have special dietary needs? Tell us how you trim your holiday trimmings in The Health Journal’s First Ever “Healthy Holiday Recipe Contest.” Remake a classic dish or submit an original recipe. If there’s a special story behind your unique culinary creation, please include that, too.

CONTEST RULES: 1. How To Enter: Contest extended to Nov. 13th, 2009. To enter, e-mail or mail your recipe, and if possible, a photograph of the recipe fully prepared. Please include your full name, address, telephone number and valid e-mail address. E-mail your recipe to info@thehealthjournals. com or send via mail to The Health Journal, 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188. 2. Photo Requirements: Electronic photos must be 300 dpi at a minimum size of 3 x 5 inches (900 x 1,500 pixels). To be safe, use a 3.2 megapixel camera (at minimum) set at its highest quality. 3. Copyright: The Submission must be the original work of entrant and not previously published. Submission must not infringe on the copyright, trademark, privacy, publicity or other intellectual property rights of any person or entity. All entries become the property of the publisher and will not be returned. We reserve the right to use your entry in all print and electronic media, and to edit it for brevity and clarity. 4. Judging: The winner of the contest will be determined by judging all the entrants’ submissions based on the following criteria: healthfulness, originality, presentation and personal story. The Health Journal editors and nutrition experts will judge recipes. One Grand Prize winner will be selected. 5. Prizes: The Grand Prize winner will receive $100 and will be featured in the December issue of The Health Journal. All prizes will be awarded in full. Staff members and their relatives are not eligible. 6. Selection of Winner: Winners will be selected on or about Nov. 13th and notified by phone and/or e-mail.

E-mail your submission to: info@thehealthjournals.com Or mail your recipe submission to: The Health Journal C/O Holiday Recipe Contest 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188 Any questions, call 757-645-4475

Page Bishop-Freer, Editor I buy store-brand hair conditioner in bulk sizes, preferably in a rich, moisturizing formula—I like Kirkland’s brand, available in a two-pack at Costco— and use it in place of shaving cream. This keeps my skin hydrated—especially my legs, which are prone to dryness—eliminating the need for lotion, even in winter months. Plus, a large bottle of conditioner lasts for several months, while a can of shaving cream is empty after a few uses. Danielle DiSalvo, Administrative Assistant I used to buy a $50 organic shea butter body lotion from L’Occitane. I would use it throughout the cold winter months for dry skin and after sun exposure in the summer. I wanted to stick with organics to avoid harmful chemicals such as polyethylene glycol and petrolatum, two common ingredients in most store-bought brands, but I wanted to find a less expensive option. I began purchasing shea butter and cocoa butter in bulk online, along with essential oils and vitamin E capsules from a local health store, and started making my own lotion. Here’s how: I melt equal parts of shea and cocoa butter in the microwave, puncture two vitamin E capsules and add a few drops of an essential oil (lavender is good for eczema). This recipe also doubles as an overnight deep conditioning treatment for dry, damaged hair. Natalie Montieth, Graphic Designer I have super-sensitive eyes; if a certain eye makeup irritates them, they water profusely. I always used Christian Dior’s Dior Show mascara, but the $25 price tag became too much. I discovered that Cover Girl’s new line of Lash Blast mascara is identical to my pricey favorite—and at only $6 a pop, my wallet is much happier (so is my husband). Come to find out, Lash Blast is hypoallergenic and suitable for contact lenses. I’m sold. Beth Shamaiengar, Associate Editor These days my purchasing is guided as much by the environment as by the recession, and so when I’m buying cosmetics or other personal hygiene items, I try to read ingredient labels carefully and buy more natural products (such as Burt’s Bees face creams). Some organic products can be a bit expensive, but on the flip side, when I consider the potentially harmful effects of various synthetic products (such as nail polish), it’s easier than ever to decide I can do without them, which helps to save money. Now seems like a better time than ever to go with a natural approach, minimizing cosmetic purchases and instead, trying other strategies to look my best, like maintaining a healthy diet, exercising regularly, managing stress, and getting enough rest. HJ

RELATIONSHIPS

Why We Go Home for the Holidays

Written By Dr. Sally Hartsfield

hy do we leave our homes, our jobs and our friends to spend money and time on an exhausting trip, sometimes hundreds of miles, to spend a day or so in a town where we may not have lived for 20 or more years? College students, obviously, go home for Thanksgiving and Christmas to eat, sleep and get their laundry done. But what about the rest of us? Given a choice, wouldn’t we rather be in Vegas or Key West? The answer lies in our deep need to belong—to be part of some larger group. Wild animals travel in packs, birds in flocks and fish in schools. Regardless of what we may say, we do not want to be left alone, or at least not all the time. Humans do not thrive in isolation, and those who spend a great deal of time alone are prone to anxiety, depression and loneliness. Today nearly one-third of American adults live alone, and the need for contact can be seen in online methods of communication like MySpace and FaceBook. There may even be a physiological need to be connected

to others. Recent research indicates that physical pain travels the same neural pathways that are stimulated when a person experiences rejection. It does hurt to be left out. And when we are asked to join a group, to participate in a conversation or to visit someone in their home, the brain responds by producing natural opiates, the same “high” we experience with physical pleasures. But why go home for the holidays instead of a popular vacation spot? Because “home” will never reject us. Our family members know us, and we know them—skeletons, warts and all. We share a common history that makes it possible to link up without having to explain too much background. And our relatives’ actions are to a degree predictable, even if not always Our family members pleasant. We know that cousin Jimmy will get way too drunk and try to put the moves know us, and we on anything female. Our parents will make know them— a fuss over us, especially if our siblings still skeletons, warts live nearby, because the out-of-town child is always the favorite. The food and the conand all. We share a versation are at least predictable, if not accommon history that tually enjoyable, as is the fact that the television will broadcast football all day even if no makes it possible one’s watching. In brief, we will be accepted to link up without to a greater or lesser degree without having having to explain too to introduce or prove ourselves. The Thanksgiving holidays are the most much background. traveled time of the year, Christmas a very close second. Our culture dictates that these be times for celebration—evident in the expectations to purchase a lot of gifts and bake or buy tons of food. In Colonial days people came together for these holidays, too, but they also gathered year-round to share news and strengthen relationships. Of course nowadays you can e-mail, send photos and get your gifts there by UPS. You can telephone and wish everyone a happy holiday. But you won’t get the satisfying experience you would have if you were actually there in person. Nor is it the same to spend the holidays with groups other than family, if you have the choice. So, you might as well give in. Make the plane reservations. Or get the car inspected and filled with gas. Squash all those beautifully wrapped presents in plastic bags, pack a lunch and check that you haven’t left a stove burner or the coffee pot on. The travel is tiring and the trip expensive. You may gain a few pounds and lose track of some of your home or work projects while you are gone. And there is always a good chance that you will get your feelings hurt (or hurt someone else’s). But perhaps you’ll get lucky and have a visit that leaves you with many wonderful memories. And if not, you can return home and chuckle with relief in splendid isolation. HJ Dr. Sally Hartsfield is a retired clinical psychologist who specialized in working with women and children. She can be reached at sallyjo@visi.net.

THE HEALTH JOURNAL November 2009

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Patient: Regina Clark Home: Williamsburg

“The Sentara rehab team gave me the tools I need to maintain mobility in my hands.”

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CALENDAR

SUPPORT GROUPS

Seniors are invited to take advantage of vision, hearing, cholesterol and blood pressure screenings, as well as flu shots and free tetanus shots, at the Historic Triangle Senior Center’s Annual Health Fair, to be held from 8:30 a.m. to noon at the James City County Williamsburg Recreation Center, 5301 Longhill Rd. This is event is free and open to the public. Join hundreds of walkers at the Alzheimer’s Association’s annual Memory Walk. Walkers will meet at the Williamsburg Community Building at 9 a.m. and the 5K walk will begin at 10 a.m. Registration is free, but participants are asked to collect donations for Alzheimer’s research and education. Visit www.alz.org/ seva or call (757) 459-2405 to register for this event.

B-defined Innovative Personal Training and Wellness studio in New Town will host a free Pre-Holiday Workshop beginning with a Body Definitions demonstration at 9 a.m. followed by a Nutrition Guidelines presentation at 9:30. Call (757) 345-6801 for more details.

Look your best during chemotherapy and/or radiation treatment for cancer with help from cosmetology professionals in this free seminar from the American Cancer Society, “Look Good…Feel Better,” offered from 6:30 to 8:30 p.m. in the Yorktown Room at Sentara Williamsburg Regional Medical Center, located at 100 Sentara Circle. Call (757) 984-7107 to register.

19th

Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022 Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362 ADDiction Gamblers Anonymous Williamsburg Place Mondays, 7 p.m. (800) 522-4700

Aids Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606 Alcohol & Drug Recovery SAARA-Colonial Chapter 1524-F Merrimac Trail Meets monthly. (757) 253-4395 Bethel Restoration Center 6205 Richmond Rd. Mondays, 7 p.m. (757) 220-5480 Kids’ Group Spirit Works 5800 Mooretown Rd. (757) 564-0001 Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111 Women Only Spirit Works 5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001

Learn about the many issues surrounding hearing loss in “Hearing Loss Connections,” a three-hour seminar offered through the Williamsburg Area Learning Tree (WALT). This event begins at 1:30 p.m. at the Williamsburg Regional Library. Cost to attend is $15, with proceeds benefitting the Hearing Loss Association of Williamsburg. For a complete listing of WALT’s fall courses, visit www.wuu.org/walt. Among other healthrelated offerings during the month of November: Happiness and Aging- The Gluten Connection, Natural Approaches to Headaches and Stress Management, Organ and Tissue Donation: A Crisis, and more. Call (757) 220-9975 for more information. Start your Turkey Day with a shotgun start at the Blue Talon Bistro Turkey Trot 5K, starting at 8 a.m. in Merchant’s Square. Registration is $25 for adults, $5 for children. Deadline to register is Monday, Nov. 23. Visit www.active.com to sign up online.

“Medicare Part D: Understand and Maximize Your Drug Benefit”, an educational course offered through the Williamsburg Area Learning Tree, will be held from 10 a.m. to noon in the Monticello Ukrop’s Community Room. Cost to attend is $20. Call (757) 220-9975 for more details.

“Veterans' Benefits: What You Need to Know,” will begin at 10 a.m. at Sentara Williamsburg Regional Medical Center. Register online at www.sentara.com.

Abuse Dating Violence Wednesdays, 4:30 p.m. (757) 221-4813

Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com

Get the facts about obesity as well as a free body composition analysis during a free educational talk— hosted by the physicians of Weight Loss Surgery Center of Hampton Roads—from 6 to 8 p.m. on the second floor of William E. Wood and Associates in New Town. Pre-registration is appreciated: Call (757) 591-9572. Refreshments will be served.

Abortion Recovery Group “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 p.m. (757) 887-6364

Al-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070

Narcotics Anonymous Meetings held daily. Visit www.na.org. Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700

Send your calendar items to info@thehealthjournals.com

Alzheimer’s Disease Peninsula Agency on Aging Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541

THE HEALTH JOURNAL November 2009

Morningside Assisted Living 3rd Wednesday, 2 p.m. (757) 221-0018 Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444 Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. (757) 826-5415 Second Presbyterian Church 1st Tuesday, 7 p.m. (757) 930-0002 James River Convalescent Center 2nd Friday, 10 a.m. (757) 595-2273 The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658 Family Centered Resources 11847 Canon Blvd., Ste. 12 3rd Thursday, 1:30 p.m. (757) 596-3941 Warwick Forest 866 Denbigh Blvd. 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 263 McLaws Circle, Suite 203 2nd Tuesdays, 1 to 3 p.m. Registration required. (757) 221-7272 Early Memory Loss Mary Immaculate Hospital 2nd Tuesday, 10 a.m. (757) 599-6847 or (757) 930-0002 Arthritis Mary Immaculate Hospital 4th Tuesday, 10:30 to noon (757) 886-6700 Autism Peninsula Autism Society Kings Way Church Last Thursday, 7 to 9 p.m. (757) 220-1137 Grafton Baptist Church 2nd Monday (757) 564-6106 Bereavement/Grief Sentara CarePlex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. (757) 827-2438 Hospice House 2nd Monday, 7 p.m. (757) 258-5166 or (757) 229-4370 Mary Immaculate Hospital 1st & 3rd Thursday, 7 p.m. (757) 886-6595 "Kidz-N-Grief" Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287

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CALENDAR Child Loss St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948 Riverside Hospice 12420 Warwick Blvd. 2nd Thursday, 7 p.m. (757) 594-2745 Walking Towards Hope 1st Tues., 7:30 to 8:30 a.m. JCC/W Community Center 5301 Longhill Rd. (757) 253-1220 or allysimone@hotmail.com Miscarriage / Stillbirth S.H.A.R.E. Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791 Suicide Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. (757) 875-0060 Breastfeeding La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399 Cancer Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Beyond Boobs! Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774 Beyond Boobs! Post-menopausal group 1st Monday, 1:30 p.m. Call for location. (757) 258-4540 Colorectal Cancer Sentara CarePlex Hospital 3rd Wed., 1 to 2:30 p.m. (757) 736-1234 Leukemia/Lymphoma Sentara CarePlex Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 827-2438 The Leukemia and Lymphoma Society Young Adult Group Call for meeting dates, times and locations. (800) 766-0797

"Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438 Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218 Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., Call for dates. (757) 827-2438 Prostate Cancer Sentara CarePlex Hospital 2nd Tuesday, 7 to 8:30 p.m. (757) 827-2438 Caregiver support Mary Immaculate Hospital First Wednesday, 1 p.m. (757) 886-6700 Colonial Heritage Clubhouse 6500 Arthur Hills Dr. 3rd Thursdays, 2:30 p.m. (757) 253-1774 or (757) 345-6974 York Public Library Community Room 2nd Tuesday, 7 p.m. (757) 890-3883 Celiac Disease Monticello Ukrop’s Call (757) 564-0229 Chronic Fatigue Syndrome Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700 Crohn’s Disease/Colitis Sentara CarePlex Hospital 1st Saturday, 1 p.m. (757) 736-1234 Diabetes Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. (757) 886-6100 Sentara Williamsburg Regional Medical Center Call for day and time. (757) 984-7106 or (757) 984-7107 Sentara Center for Health and Fitness 3rd Wednesday, 4 to 5 p.m. (757) 827-2160 Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700 Type 1 Riverside Regional Medical Center 4th Tuesday, 2 p.m. Bi-monthly, Feb. - Oct. (757) 534-5050 Type 2 Riverside Regional Medical Center 3rd Tuesday, 2 p.m. (757) 534-5050 Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5050

Eating Disorders Overeaters Anonymous Chestnut Memorial Church Mondays, 7 p.m. Thursdays, 11 a.m. (757) 898-3455 Fibromyalgia Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725

African-American Group Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627 Myasthenia gravis James City County Library Every other month on the 4th Sat., 1 p.m. (757) 810-1393

Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795

Ostomy Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033

Heart Disease Mended Hearts Riverside Regional Medical Center Call for dates/times. (757) 875-7880

ParentIng JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940

Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700 Job Transition Great Harvest Bread Co. Wednesdays, 7 a.m. Kidney disease Sentara CarePlex Hospital 1st Wednesday, 6 to 7:30 p.m. (757) 244-3923

Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125 JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us Fathers Only Dads Make a Difference York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777 Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847

Lou GeHrig's disease (ALS) For patients, family members and friends. St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org

Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777

Mental Illness Support St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535

New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051

500-C Medical Drive Wednesdays, 6 to 7:30 p.m. (757) 503-0743

St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945

Recovery Denbigh Church of Christ 1st & 3rd Thursdays Call for time. (757) 850-2279

Stay-at-Home Moms Olive Branch Christian Church Fridays, 10 a.m. (757) 566-3862

St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871 Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 to 9:30 p.m. (757) 827-1001 Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902

Stepfamilies Williamsburg United Methodist Church 4th Monday, 7 p.m. (757) 253-2971 Parkinson’s Disease Sentara CarePlex Hospital 1st Tuesday, 3 p.m. (757) 827-2170 Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 220-2627 Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880 Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381

To advertise, call 757-645-4475

PMS Historic Triangle Senior Center 2nd & 4th Wed., 5:30 p.m. (757) 220-0902 Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050 Vision Loss 1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185 Weight ManagEment Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301 T.O.P.S. (Take Off Pounds Sensibly) Warwick Memorial United Methodist Church Wednesdays, 9 a.m. (757) 850-0994 St. Mark’s Methodist Church Thursdays, 8:30 a.m. (757) 850-0994 Hope Lutheran Church Mondays, 5:45 p.m. (757) 850-0994 First Christian Church Thursdays, 6:00 p.m. (757) 850-0994 Fox Hill Road Baptist Church Mondays, 6:30 p.m. (757) 850-0994

Lackey Free Clinic Walk-in eligibility screenings held Mon., 5:30 to 8 p.m. Regular hours are: Mon.-Thurs., 8:30 to 5 p.m., and Fridays 8:30 to noon (757) 886-0608 Lamaze Classes Call for information. (757) 565-6156 Planetree Health Resource Library Sentara Williamsburg Regional Medical Center Open 24 hrs/day. (800) SENTARA Prenatal Yoga Zenya Yoga Studio Sat., 12:15 to 1:15 p.m. (757) 886-6700 Sentara Living for adults 50-plus Sentara Williamsburg Regional Medical Center 3rd Thurs., 10 a.m. to noon (800) SENTARA Sentara CarePlex Hospital 3rd Wed., 10 a.m. to noon (800) SENTARA Singles Dance 128 Deep Creek Rd. 2nd & 4th Saturday 7:30 to 10:30 p.m. (757) 247-1338 Student Physicals For students 14 years of age and older. Riverside Occupational Health Clinic (757) 886-7811 Walk-in Immunization Clinic Olde Towne Medical Center Tuesdays, 9 to 11 a.m. & 2 to 4 p.m. (757) 259-3258 Yoga for Diabetics Free and open to the public Angels of Mercy Clinic Tuesdays, 3 p.m. (757) 565-1700

Olive Branch Christian Church Tuesdays, 9:45 a.m. (757) 850-0994 Women's issues Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

HEALTH RESOURCES Blood Pressure ScreeningS - Free Senior Center of York Every Wednesday Walk-ins welcome. (757) 898-3807

Find More Events Online Go To: www.thehealthjournals.com Browse our online calendar of monthly events and support groups.

New Town Urgent Care Mon-Fri., 8 a.m. to 5:30 p.m. Walk-ins welcome. (757) 259-1900

THE HEALTH JOURNAL November 2009

PROFILE

Changing Lives, One Pound at a Time Written by Brenda H. Welch Photography By Page Bishop-Freer

hanksgiving is a special time of year, especially for people who enjoy eating—and really, who doesn’t? For some, the traditional holiday fare—mashed potatoes and gravy, buttered dinner rolls, stuffing and turkey, not to mention the array of desserts—is an appetizing treat. But for others, the delectable spread isn’t just food; it’s a feast made for self-loathing. For those with a compulsion to overeat, no matter the time of year, food can seem like both their greatest friend and their worst enemy. Dr. Lisa Harris understands what it means to have this sort of relationship with food. As a weight-loss physician, she’s counseled thousands of patients and helped to guide them toward a more balanced life, both physically and emotionally. Harris gained her experience academically at Hahnemann Medical School (now Drexel University College of Medicine) in Philadelphia, Pa., and personally from her own struggle with the scale. Since opening the Chase Wellness and Research Center in Virginia Beach (www.chasewellnesscenter.com) in 1994, where she and her team of experts treat patients, Harris has seen the medical community as a whole begin to accept the idea that obesity is a complex yet treatable medical condition. The Health Journal recently spoke with Harris about what it takes to lose weight, how she and her son stay fit together, and what she’d likely sing if handed a microphone.

HJ: What are your views on weight-loss surgery (liposuction, Lap Band, gastric bypass, etc.)? LH: I don’t do any type of weight-loss surgery personally, but I have suggested the idea to some of my patients because I believe it is an option for some people. HJ: Have you had any personal experience with struggling to lose weight? LH: I’ve had problems managing my weight since I was in the third grade. I think I initially gained weight because that was at a time when my older sister left home and went away to college. I was very close to her, so eating became

Lisa Harris, M.D.

HJ: What recent advancements in bariatric medicine are you most excited about? LH: When I started in bariatric medicine, obesity was not really considered a medical disease. It was more the belief that people just had to have some willpower to stop eating, or maybe it was a character issue—like they were lazy. Now, especially in the medical community, obesity is seen as a medical disease that needs to be treated. If someone is overweight or obese, it is not just a cosmetic issue. It’s actually a medical problem that can bring about other medical problems.

a way to comfort myself. That was the start of a pattern. In my early adult life, I was focused on my appearance. When I got married in 1989, I was the smallest I have ever been—a size four. I lost the weight by carefully watching everything I ate, keeping a food journal and exercising daily. Over the next year and a half I slowly gained some of the weight back and then leveled off. Today, I am focused on my health. Obesity has a far more broad impact than just on how we look. I try to stress this to all of my patients. HJ: Consumers are cautioned that weight-loss medications and supplements can sometimes do more harm than good. What is your opinion? LH: I never suggest over-the-counter weight-loss aids because they are not regulated. I do, for some patients, prescribe medication because I believe it is a useful tool—just like food diaries and exercise—but not a magic pill. I explain to them that they won’t be taking it every day for the rest of their lives but that it will get their cravings and eating under control. HJ: How does your business compete with the many other weight-loss options out there? LH: I’m always cost-conscious, so I really worked hard to have programs that fit everyone’s budget. I always

Age: 49 Hometown: Connelly, N.Y. Family: Son, 14; divorced Education: Bachelor’s degree from Utica College of Syracuse University, Utica, N.Y. ; Medical degree from Hahnemann Medical School (now Drexel University College of Medicine) in Philadelphia, Pa. Professional affiliations: American Medical Association, American Society of Bariatric Physicians, American Obesity Association Volunteer activities: FoodBank of Southeastern Va., The Dwelling Place (an emergency family shelter), Norfolk Academy Always in her refrigerator: Good cheese and sparkling water

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

PROFILE remind people that being obese or overweight is expensive. Food costs money. You may have medical problems that have come from being overweight, and it costs money to see physicians and purchase the medications to manage those conditions. If you are gaining weight, then that costs money because you have to buy all new clothes. HJ: What book is currently on your nightstand? LH: I am always reading parenting books. I am currently reading A Good Son—it’s all about how to raise boys. The second one I am reading is Lord of the Flies. My son is reading it in school, so I thought maybe I’d read it, too, so that we could have discussions.

“Obesity has a far more broad impact than just on how we look. I try to stress this to all of my patients.”

Williamsburg Dialysis Dr. Shuping Wang, MD Medical Director Nicole Lee, RN Administrator

Now accepting patients!

(757) 206-1408

500 Sentara Circle, Suite 103 | Williamsburg, VA 23188

Now accepting patients for in-center hemodialysis, peritoneal dialysis, and home hemodialysis. Visiting dialysis patients welcome.

What does it mean to be ageless?

HJ: Who are your role models? LH: Some of my patients who have lost a tremendous amount of weight. They just never gave up, even though it took them a while to do it. That’s the one quality that I admire in people the most—persistence. HJ: Childhood obesity is a hotbutton issue. Do you talk about weight with your son? LH: I stress healthy eating both at home and when we go out to dinner. I try to get him involved in lacrosse and other sports. So far he has not had an issue with his weight, and I hope he won’t. I think that it really helps when kids cook, because they are more likely to eat what they cook, so I’ve tried to do that with him, too. We also play games on the Wii Fit together, which is a ton of fun, and we both get a good workout. HJ: Do you have a favorite quote? LH: Yes, it’s by Henry Wadsworth Longfellow: “The heights by great men reached and kept were not obtained by sudden flight, but they, while their companions slept, were toiling upward in the night.” HJ: Do you have any hidden talents or hobbies that your patients would be surprised to know about? LH: I like to sing, although I can’t sing—so I don’t consider that a talent. I love to sing karaoke at home. If I go out of town, I will karaoke, but I don’t want anyone that knows me to see me. I usually like to sing something by Aretha Franklin—she’s spunky and lively. HJ

Find out on Saturday, Nov. 21st. Ageless Dermatology and Laser Center will unveil its exclusive line of custom skin care products. Join us for Product Giveaways, Free Consultations (by appointment), and Hourly Demonstrations. Enter to win free Botox or Microdermabrasion with the purchase of any Ageless skin care product. TM

Call 757.564.1200 for your personalized invitation to this special event.

Dermatology & Laser Center

Keith W. Schumann, M.D. 5309 Discovery Park Boulevard, Williamsburg, Virginia 23188

To advertise, call 757-645-4475

THE HEALTH JOURNAL November 2009

PC I

PENINSULA CANCER INSTITUTE In the Riverside Healthcare Center | 120 Kings Way, Suite 3100, Williamsburg, VA 23185

Mark E. Ellis, MD; Laura D. Kerbin, MD; Nancy F. McKinny, MD; Lynn B. Ellis, CFNP; Holly Chesebrough, CFNP; and staff at the Williamsburg Location.

eninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment right here in Williamsburg. All PCI Doctors are Board-Certified by the American Board of Internal Medicine in Medical Oncology. Selected physicians are

also Board-Certified in Hematology and Palliative Medicine. The following services are housed under one roof and integrated into the treatment of each patient according to need and desire: patient navigation, chemotherapy, radiation therapy, genetic counseling, nutritional counseling, family services,

massage therapy, pet therapy, music therapy, patient/family education, and cutting-edge clinical research trials. PCI is a member of the Cancer Trials Support Unit (CTSU) as an independent clinical research site. CTSU is a project sponsored by the National Cancer Institute.

NEWPORT NEWS

WILLIAMSBURG Riverside Healthcare Center 120 Kings Way, Suite 3100 Williamsburg, VA 23185

Middle Peninsula Cancer Center 7544 Medical Drive Gloucester, VA 23061

757-534-5555

757-345-5724

804-693-9037

Riverside Cancer Care Center 12100 Warwick Blvd., Suite 201 Newport News, VA 23601

For more information, please visit our website: www.peninsulacancerinstitute.com

GLOUCESTER